NPIMap

Organization Active NPI

San Marino Psychiatric Hospitalists, Inc

  • Psychiatric Hospital
  • San Marino, CA
National Provider Identifier
1164811691
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
SAN MARINO PSYCHIATRIC HOSPITALISTS, INC
Practice address
2400 Mission St
San Marino, CA 91108-1632
Phone
(626) 403-8999
Fax
(626) 403-8989
NPI assigned
Jan 21, 2015
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Timothy J Pylko, M.D.NPI 1841328705
Title
President
Phone
(626) 403-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

2400 Mission St
San Marino, CA 91108-1632

Mailing address

2400 Mission St
San Marino, CA 91108-1632
Phone (626) 403-8999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1164811691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "626-403-8999",
            "fax_number": "626-403-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "626-403-8999",
            "fax_number": "626-403-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARINO PSYCHIATRIC HOSPITALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "PYLKO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-403-8999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.