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Organization Active NPI

Pih Health Whittier Hospital

  • Family Medicine Physician
  • Whittier, CA
National Provider Identifier
1083664841
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52601 Issued in CA
Legal business name
PIH HEALTH WHITTIER HOSPITAL
Practice address
12291 Washington Blvd
500
Whittier, CA 90606-2500
Phone
(562) 698-2541
Fax
(562) 698-0010
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A52601 CA Primary

Addresses

Primary practice location

12291 Washington Blvd
500
Whittier, CA 90606-2500

Mailing address

PO Box 1277
Whittier, CA 90609-1277
Phone (562) 789-5401

Other names 2

  • PIH Family Practice Center Doing business as
  • Presbyterian Intercommunity Hospital, 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
O20041213001073 CA Part B Supplier - Clinic/Group Practice 3678545308 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Whittier, CA

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.

National Provider Directory

National Provider Directory

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1083664841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906091277",
            "telephone_number": "562-789-5401",
            "fax_number": "562-789-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "address_2": "500",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-698-2541",
            "fax_number": "562-698-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIH HEALTH WHITTIER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIH Family Practice Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presbyterian Intercommunity Hospital, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.