NPIMap

Organization Active NPI

Sutter Central Valley Hospitals

Doing business as Memorial Hospital Los Banos

  • General Acute Care Hospital
  • Los Banos, CA
National Provider Identifier
1033352125
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
040000177 Issued in CA
Legal business name
SUTTER CENTRAL VALLEY HOSPITALS
Doing business as
Memorial Hospital Los Banos
Practice address
520 W I Street
Los Banos, CA 93635-3419
Phone
(209) 826-0591
Fax
(209) 826-1943
NPI assigned
Apr 20, 2009
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Gates
Title
Cfo Shba
Phone
(510) 450-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 040000177 CA Primary

Addresses

Primary practice location

520 W I Street
Los Banos, CA 93635-3419

Mailing address

PO Box 740152
Los Angeles, CA 90074-0152
Phone (855) 398-1633

Other names 1

  • Memorial Hospital Los Banos Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sutter Community Hospit27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

300 Ave Jesus T Pinero
San Juan, PR 00918
Phone (787) 309-8022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1033352125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740152",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740152",
            "telephone_number": "855-398-1633",
            "fax_number": "209-569-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W I STREET",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353419",
            "telephone_number": "209-826-0591",
            "fax_number": "209-826-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER CENTRAL VALLEY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO SHBA",
        "authorized_official_telephone_number": "510-450-7357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "040000177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital Los Banos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.