Beverly Community Hospital Association

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

93 0000 389 Issued in CA

Legal business name

BEVERLY COMMUNITY HOSPITAL ASSOCIATION

Doing business as

Beverly Hospital

Practice address

309 W Beverly Blvd
Montebello, CA 90640-4308

Phone

(323) 726-1222

Fax

(323) 837-3473

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

James Mathew

Title

Sr. Director

Phone

(323) 726-1222

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Beverly Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospital certification: CCN 050350

Legal name

BEVERLY COMMUNITY HOSPITAL ASSOCIATION

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Feb 6, 2019

Beds

224 (214 certified)

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

May 9, 1949 in CA

Enrollment address

309 W Beverly Blvd
Montebello, CA 90640-4308
Other Hospital Practice Location

Hospital subgroups

General, Acute care

Listed as

Adventist Health White Memorial MontebelloCCN 050350 · All quality measures

Overall star rating

3 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Gautam Ganguly, M.D.

  • Neurology Physician
  • Whittier, CA
  • NPI 1215912522

  Corporate Director

  CMS ownership
• Monica Thornhill-Joynes, MD

  • Nephrology Physician
  • Montebello, CA
  • NPI 1548370638

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1184628919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404308",
            "telephone_number": "323-726-1222",
            "fax_number": "323-837-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404308",
            "telephone_number": "323-726-1222",
            "fax_number": "323-837-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "323-726-1222"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "93 0000 389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC 30 350F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT 30 350F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT 40 350F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP 30 350F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beverly Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janeece A Berry, RNP
• Bertha a Gonzalez DO, Inc
• Delia Betancourt Manale, COTA
• Beverly Ambulatory Med-Surg Center, PC
• Beverly Care Medical Group, Inc
• Beverly Hospital
• Beverly Hospitalist Group Incorporated
• Beverly Internal Medicine Medical Group Inc.
• Beverly Oncology & Imaging Center Medical GR
• Beverly Orthopedic Laboratory Inc

• General Acute Care Hospital in Montebello, CA
• Providers in Montebello, 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 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.