Jupiter Bellflower Doctors Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

00899 Issued in CA

Legal business name

JUPITER BELLFLOWER DOCTORS HOSPITAL

Practice address

9542 East Artesia Blvd
Bellflower, CA 90706

Phone

(562) 925-8355

Fax

(949) 732-4671

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Clara Ruth Blom

Title

VP/Hospital Cfo

Phone

(310) 463-8273

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bellflower Medical Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 050531

Legal name

BELLFLOWER MEDICAL CENTER

Certification status

Terminated Voluntary: merger or closure, Apr 9, 2013

Provider type (POS)

Hospital – Short-term

Participating since

Oct 12, 1977

Last certification

Jan 25, 1995

Beds

145

Ownership / control type

Private (for profit)

Facility address

9542 E Artesia Blvd
Bellflower, CA 90706

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1114021250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9542 EAST ARTESIA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "562-925-8355",
            "fax_number": "949-732-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9542 EAST ARTESIA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "562-925-8355",
            "fax_number": "949-732-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER BELLFLOWER DOCTORS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "VP/HOSPITAL CFO",
        "authorized_official_telephone_number": "310-463-8273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "00899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40531H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30531H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM30531H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellflower Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nancy N Kagawa, CRNA

• General Acute Care Hospital in Bellflower, CA
• Providers in Bellflower, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.