NPIMap

Organization Active NPI

CHW So. California

  • Health Service Clinic/Center
  • Rialto, CA
National Provider Identifier
1194976563
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CHW SO. CALIFORNIA
Practice address
681 N Brierwood Ave
Rialto, CA 92376-4776
Phone
(909) 879-7803
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mrs. Faye Bower, DNSC, FAA
Title
Chair for the Department of Nursing
Phone
(510) 436-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

681 N Brierwood Ave
Rialto, CA 92376-4776

Mailing address

681 N Brierwood Ave
Rialto, CA 92376-4776
Phone (909) 879-7803

Other names 1

  • St. Bernardine Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Healthcare West74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1194976563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 N BRIERWOOD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764776",
            "telephone_number": "909-879-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 N BRIERWOOD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764776",
            "telephone_number": "909-879-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHW SO. CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "CHAIR FOR THE DEPARTMENT OF NURSING",
        "authorized_official_telephone_number": "510-436-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNSC, FAA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Bernardine Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.