California Specialty Hospital South

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

CALIFORNIA SPECIALTY HOSPITAL SOUTH

Practice address

21530 Pioneer Blvd
Hawaiian Gardens, CA 90716

Phone

(209) 505-7464

NPI assigned

Jan 17, 2018

Last updated

Sep 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Salas

Title

Ceo

Phone

(209) 505-7464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1164930707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DALE RD # J8-202",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PIONEER BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "90716",
            "telephone_number": "209-505-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPECIALTY HOSPITAL SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-505-7464"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brite Dental Hawaiian Gardens, Inc.
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• Paola Camacho-Unda
• Cireese Campos-Orozco
• Alicia Carrillo
• Michelle Mendoza Castillo, LCSW
• Ana Sofia Cervantes, ACSW

• General Acute Care Hospital in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, 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 Sep 5, 2018; 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.