Organization Active NPI

Perris Valley Community Hospital, LLC

Doing business as Vista Hospital of Riverside

  • General Acute Care Hospital
  • Perris, CA
National Provider Identifier
1144373317
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PERRIS VALLEY COMMUNITY HOSPITAL, LLC
Doing business as
Vista Hospital of Riverside
Practice address
2224 Medical Center Dr
Perris, CA 92571-2638
Phone
(951) 436-3535
Fax
(951) 436-3536
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Marc Ferrell
Title
Senior VP
Phone
(562) 715-0974

Specialties & licenses 1

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

Addresses

Primary practice location

2224 Medical Center Dr
Perris, CA 92571-2638

Mailing address

2224 Medical Center Dr
Perris, CA 92571-2638
Phone (951) 436-3535

Other names 1

  • Vista Hospital of Riverside Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1144373317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 MEDICAL CENTER DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712638",
            "telephone_number": "951-436-3535",
            "fax_number": "951-436-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 MEDICAL CENTER DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712638",
            "telephone_number": "951-436-3535",
            "fax_number": "951-436-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRIS VALLEY COMMUNITY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "562-715-0974"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Hospital of Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.