NPIMap

Organization Active NPI

Emanate Health Medical Center

Doing business as Citrus Valley Medical Center Queen Of the Valley Campus

  • General Acute Care Hospital
  • West Covina, CA
National Provider Identifier
1063441293
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EMANATE HEALTH MEDICAL CENTER
Doing business as
Citrus Valley Medical Center Queen Of the Valley Campus
Emanate Health Queen of the Valley Hospital
Practice address
1115 S Sunset Ave
West Covina, CA 91790-3940
Phone
(626) 962-4011
NPI assigned
Jul 1, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EMANATE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Roger Sharma
Title
Executive VP/Cfo
Phone
(626) 938-7595

Specialties & licenses 1

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

Addresses

Primary practice location

1115 S Sunset Ave
West Covina, CA 91790-3940

Mailing address

PO Box 840147
Los Angeles, CA 90084-0147
Phone (626) 732-3100

Other identifiers 6

IdentifierTypeStateIssuer
HSC30369FMedicaidCA
ZZT30369FMedicaidCA
050382OtherCACHAMPUS
209OtherCABLUE CROSS SO CAL
ZZZA1939ZOtherCABLUE SHIELD CA
ZZT40369FMedicaidCA

Other names 3

  • Citrus Valley Medical Center Queen Of the Valley Campus Doing business as
  • Emanate Health Queen of the Valley Hospital Doing business as
  • Citrus Valley Medical Center Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000637 CA Part A Provider - Hospital 0143317453 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covina, CA; West Covina, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063441293. Details of each certification follow.

Hospital certification: CCN 050382

Legal name
EMANATE HEALTH MEDICAL CENTER
Doing business as
EMANATE HEALTH INTER-COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 14, 2023
Beds
193
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 4, 1959 in CA
Enrollment address
210 W San Bernardino Rd
Covina, CA 91723-1515
Hospital subgroups
General, Acute care

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Emanate Health Inter-Community HospitalCCN 050382 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Citrus Valley Health Partners

Locations (25 of 26)

723 S Garfield Ave
Ste 202
Alhambra, CA 91801
Phone (818) 659-5887

14342 Ramona Blvd
Baldwin Park, CA 91706
Phone (626) 338-4088

158 W College St
Covina, CA 91723
Phone (626) 331-0175

256 W San Bernardino Rd
Covina, CA 91723
Phone (626) 938-1080

315 N 3rd Ave
Ste 102
Covina, CA 91723
Phone (626) 261-4048

315 N 3rd Ave
Ste 207
Covina, CA 91723
Phone (626) 915-4700

315 N 3rd Ave
Ste 303A
Covina, CA 91723
Phone (313) 577-9603

430 W Badillo St
Covina, CA 91723
Phone (626) 859-2851

10302 Lower Azusa Rd
El Monte, CA 91731
Phone (626) 350-6200

10728 Ramona Blvd
Ste A
El Monte, CA 91731
Phone (626) 442-9430

1300 W 155th St
Ste 210
Gardena, CA 90247
Phone (310) 327-6400

412 W Carroll Ave
Ste 107
Glendora, CA 91741
Phone (626) 852-0411

1150 N Hacienda Blvd
La Puente, CA 91744
Phone (626) 917-5281

4950 San Bernardino St
Ste 202
Montclair, CA 91763
Phone (909) 447-5554

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

10470 Foothill Blvd
Ste 127
Rch Cucamonga, CA 91730
Phone (626) 852-3376

18397 Colima Rd
Rowland Heights, CA 91748
Phone (626) 581-8555

1330 W Covina Blvd
Ste 106
San Dimas, CA 91773
Phone (909) 599-6876

1330 W Covina Blvd
Ste 206
San Dimas, CA 91773
Phone (909) 267-9138

1433 W Merced Ave
Ste 114
West Covina, CA 91790
Phone (626) 960-4989

1433 W Merced Ave
Ste 207
West Covina, CA 91790
Phone (626) 836-6900

1433 W Merced Ave
Ste 311
West Covina, CA 91790
Phone (626) 960-7759

933 S Sunset Ave
Ste 206
West Covina, CA 91790
Phone (626) 960-2977

933 S Sunset Ave
Ste 301
West Covina, CA 91790
Phone (626) 960-5464

933 S Sunset Ave
Ste 307
West Covina, CA 91790
Phone (626) 962-6811

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Walter Allen Individual Corporate DirectorBoard Member Jun 1, 2024
Gary Mathewson Individual Corporate Director Oct 30, 2007
Sanjay Natverlal Khedia Individual Corporate Director Sep 1, 2023
Raffaele M Corbisiero Individual Corporate DirectorBoard Member Jan 1, 2024
Thomas O. Bryan Individual Corporate Director Jun 1, 2024
Clifford Charles Christ Individual Corporate Director Oct 30, 2007
Rajesh K Sharma Individual Corporate OfficerPresident/Ceo Jul 31, 2013
Philip B Maldonado Individual Corporate Officer Jun 1, 2023
Patsy Gorrell Individual Corporate Director Oct 30, 2007
Mary Kirchen Individual Corporate Director Oct 30, 2007
Emanate Health Organization, Covina, CA Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 15, 2018 100%
Operational/Managerial Control Oct 15, 2018 100%
Sharon Juliana Yee Individual Corporate DirectorBoard Member Jun 1, 2016
Lucrecia Montes Individual Corporate Director Jun 1, 2016
Brenda N Hayakawa Individual Corporate DirectorBoard Member Jan 1, 2024
Robert Gonzales Individual Corporate Officer Jan 1, 2023
Eddie Arvayo Individual Operational/Managerial ControlFinance Director Feb 1, 2023

Owners & managing parties with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 317

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 317

Affiliated clinicians 469

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

View all 469

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1063441293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840147",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840147",
            "telephone_number": "626-732-3100",
            "fax_number": "626-732-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940",
            "telephone_number": "626-962-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANATE HEALTH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMANATE HEALTH",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "EXECUTIVE VP/CFO",
        "authorized_official_telephone_number": "626-938-7595"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30369F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30369F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "050382",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SO CAL",
            "identifier": "209",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA",
            "identifier": "ZZZA1939Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40369F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Valley Medical Center Queen Of the Valley Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emanate Health Queen of the Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Valley Medical Center Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.