NPIMap

Organization Active NPI

Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
National Provider Identifier
1043215379
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000129 Issued in CA
Legal business name
PIH HEALTH WHITTIER HOSPITAL
Practice address
12401 Washington Blvd
Whittier, CA 90602-1006
Phone
(562) 698-0811
Fax
(562) 789-4462
NPI assigned
Jun 14, 2005
Last updated
Jul 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Sue R Ponce (Aka Carlson)
Title
Special Projects
Phone
(562) 698-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000129 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Whittier, CA 90602-1006

Mailing address

12401 Washington Blvd
Attention Administration
Whittier, CA 90602-1006
Phone (562) 698-0811

Other names 2

  • PIH Health Hospital Whittier Former legal business name
  • Presbyterian Intercommunity Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041110001068 CA Part A Provider - Hospital 3678545308 Practice locations: Whittier, CA; La Mirada, CA
O20041213001073 CA Part B Supplier - Clinic/Group Practice 3678545308 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whittier, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043215379. Details of each certification follow.

Hospital certification: CCN 050169

Legal name
PIH HEALTH WHITTIER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 14, 2018
Beds
547
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 2, 1954 in CA
Enrollment address
12401 Washington Blvd
Whittier, CA 90602-1006
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Pih Health Hospital-WhittierCCN 050169 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations (25 of 53)

1019 W La Palma Ave
Unit B
Anaheim, CA 92801
Phone (714) 535-8900

351 E Foothill Blvd
Arcadia, CA 91006
Phone (626) 358-3061

622 W Duarte Rd
Ste 202
Arcadia, CA 91007
Phone (626) 446-4461

433 N Camden Dr
Ste 550
Beverly Hills, CA 90210

10933 Lakewood Blvd
Downey, CA 90241
Phone (562) 904-1989

11101 La Reina Ave
#201
Downey, CA 90241
Phone (562) 622-9500

11411 Brookshire Ave
Ste 200
Downey, CA 90241
Phone (562) 869-4421

11480 Brookshire Ave
Ste 110
Downey, CA 90241
Phone (562) 861-0336

11480 Brookshire Ave
Ste 111
Downey, CA 90241
Phone (562) 904-1651

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

1420 Ocotillo Dr
Ste A
El Centro, CA 92243
Phone (760) 352-3555

8970 Warner Ave
Fountain Vly, CA 92708
Phone (714) 477-8400

2282 N State College Blvd
Fullerton, CA 92831
Phone (657) 378-9888

2720 N Harbor Blvd
Ste 300
Fullerton, CA 92835
Phone (657) 632-0123

1025 N Brand Blvd
Ste 200
Glendale, CA 91202
Phone (818) 230-2140

1141 N Brand Blvd
Ste 400
Glendale, CA 91202
Phone (818) 247-9717

1850 S Azusa Ave
Ste 208
Hacienda Heights, CA 91745
Phone (626) 447-8500

1850 S Azusa Ave
Ste 205
Hacienda Hts, CA 91745
Phone (626) 964-2880

1850 S Azusa Ave
Ste 207
Hacienda Hts, CA 91745
Phone (626) 956-0086

1850 S Azusa Ave
Ste 209
Hacienda Hts, CA 91745
Phone (626) 810-8688

12675 La Mirada Blvd
Ste 201
La Mirada, CA 90638
Phone (562) 903-7339

12675 La Mirada Blvd
Ste 219
La Mirada, CA 90638
Phone (562) 944-0881

15040 Imperial Hwy
La Mirada, CA 90638
Phone (562) 902-1014

15088 Imperial Hwy
La Mirada, CA 90638
Phone (213) 591-2886

15625 Imperial Hwy
La Mirada, CA 90638
Phone (562) 902-3000

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marissa Goldberg Individual Corporate DirectorBoard Member Oct 1, 2021
Tracea R Saraliev Individual Corporate DirectorBoard Member Feb 8, 2024
Melanie Catherine Batiste Individual Corporate DirectorBoard Member Oct 21, 2021
Vidhyashankaran Mahalingamshivaraman Individual Corporate OfficerChiel Financial Officer May 1, 2021
Operational/Managerial ControlChief Financial Officer May 1, 2021
J Richard Atwood Individual Corporate DirectorBoard Member Apr 25, 2005
Deborah Medrano Individual Corporate DirectorBoard Member Dec 13, 2024
Charlotte a Weaver Individual Corporate DirectorBoard Member Oct 10, 2016
Regine Jeanne Syda-Lawton Individual Corporate DirectorBoard Member Dec 13, 2024
Adrian D Crisan Individual Corporate DirectorBoard Member Oct 1, 2019
Susanne R Ponce Individual Operational/Managerial ControlSpecial Projects Mar 2, 2016
Hamilton J Hamar Individual Corporate DirectorBoard Member Oct 10, 2016
Peggy a Chulack Individual Corporate OfficerChief Administrative Officer Sep 6, 2004
Operational/Managerial ControlChief Administrative Officer Sep 6, 2004
Daniel D Saket Individual Corporate DirectorBoard Member Jan 3, 2025
William Harold Roth Individual Corporate DirectorBoard Member Mar 1, 2023
Eduardo a Tovar Individual Corporate DirectorBoard Member Mar 26, 2021
Peter P Greaney Individual Corporate DirectorBoard Member Nov 13, 2018
Noel Patrick Coppinger Individual Operational/Managerial ControlVice President, Revenue Cycle Oct 18, 2019
Scott Southron Individual Corporate DirectorBoard Member Dec 13, 2024
Patrick L Monroe Individual Corporate DirectorBoard Member Oct 10, 2016
Scott Krog Individual Corporate DirectorBoard Member Dec 13, 2024
James R West Individual Corporate OfficerPresident and Ceo Oct 1, 1994
Operational/Managerial ControlPresident and Ceo Oct 1, 1994
Pih Health Inc Organization, Whittier, CA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 15, 1996 100%
Kenton C Woods Individual Corporate DirectorBoard Member Feb 28, 2005
Paul a Treinen Individual Corporate DirectorBoard Member Nov 12, 2019
Thurso Barendse Individual Corporate DirectorBoard Member Feb 8, 2024
Alex F Alvarez Individual Corporate DirectorBoard Member Oct 9, 2017

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pih Health Whittier Hospital Transitional Care UnitWhittier, CA, CCN 555654 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Feb 15, 1996
Nov 8, 2024
Dec 13, 2024
Pih Health Good Samaritan HospitalLos Angeles, CA, CCN 555927 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Feb 19, 2025
Pih Health Home Healthcare - HospiceLa Mirada, CA, CCN 051542 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 426

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 426

Affiliated clinicians 560

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 560

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1043215379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "address_2": "ATTENTION ADMINISTRATION",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811",
            "fax_number": "562-789-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811",
            "fax_number": "562-789-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIH HEALTH WHITTIER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "PONCE (AKA CARLSON)",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPECIAL PROJECTS",
        "authorized_official_telephone_number": "562-698-0811"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIH Health Hospital Whittier",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PIH Health Hospital Whittier",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Presbyterian Intercommunity Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.