NPIMap

Organization Active NPI

Prime Healthcare Paradise Valley LLC

Doing business as Paradise Valley Hospital

  • General Acute Care Hospital
  • Chula Vista, CA
National Provider Identifier
1194898486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PRIME HEALTHCARE PARADISE VALLEY LLC
Doing business as
Paradise Valley Hospital
Practice address
330 Moss St
Chula Vista, CA 91911-2005
Phone
(619) 470-4321
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Joseph Sarrao
Title
Vice-President & General Counsel
Phone
(909) 464-8847

Specialties & licenses 1

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

Addresses

Primary practice location

330 Moss St
Chula Vista, CA 91911-2005

Mailing address

5451 Walnut Ave
Chino, CA 91710-2609
Phone (909) 464-8847

Other names 1

  • Paradise Valley Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061227000375 CA Part A Provider - Hospital 4587664412 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: National City, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1194898486. Details of each certification follow.

Hospital certification: CCN 050024

Legal name
PRIME HEALTHCARE PARADISE VALLEY LLC
Doing business as
PARADISE VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 29, 2019
Beds
237
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 6, 2006 in DE
Enrollment address
2400 E 4TH St
National City, CA 91950-2026
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation

Hospital certification: CCN 054139

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BAYVIEW HOSPITAL AND MENTAL HEALTH SYS
Certification status
Terminated Voluntary: merger or closure, Nov 30, 2000
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 23, 1994
Last certification
Mar 14, 1997
Beds
64
Ownership / control type
Private (for profit)
Facility address
330 Moss St
Chula Vista, CA 91911

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Paradise Valley HospitalCCN 050024 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Prime Healthcare Services, Inc Organization, Ontario, CA Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2007 100%
Other Mar 1, 2007 100%
Gemma Rama B Individual Corporate DirectorBoard Member Jan 1, 2013
OtherBoard Member Jan 1, 2013
Luis Leon Individual Corporate OfficerCorporate Chief Executive Officer Mar 4, 2012
Prakash K Bhatia Individual Corporate DirectorBoard Member Jan 1, 2013
OtherGoverning Board Jan 1, 2013
Neerav Jadeja Individual Corporate OfficerChief Executive Officer Jun 1, 2019
Corporate DirectorBoard Member Jan 1, 2013
W-2 Managing EmployeeChief Executive Officer Jun 1, 2019
Steven Aleman Individual Corporate OfficerChief Financial Officer Jun 1, 2020
Christopher Doan Individual Corporate OfficerChief Compliance Counsel Apr 24, 2017
Prime Healthcare Holdings Inc Organization, Ontario, CA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Apr 21, 2010 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 93

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194898486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "909-464-8847",
            "fax_number": "909-464-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MOSS ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112005",
            "telephone_number": "619-470-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE PARADISE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARRAO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE-PRESIDENT & GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-464-8847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.