NPIMap

Organization Active NPI

West Covina Medical Center, Inc.

  • Skilled Nursing Facility
  • West Covina, CA
National Provider Identifier
1255723490
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
930000188 Issued in CA
Legal business name
WEST COVINA MEDICAL CENTER, INC.
Practice address
725 S Orange Ave
West Covina, CA 91790-2614
Phone
(626) 338-8481
Fax
(626) 960-9178
NPI assigned
Feb 25, 2015
Last updated
Jul 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Ms. Vicki P Rollins, RN
Title
Vice-President
Phone
(626) 338-8481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 930000188 CA Primary

Addresses

Primary practice location

725 S Orange Ave
West Covina, CA 91790-2614

Mailing address

725 S Orange Ave
West Covina, CA 91790-2614
Phone (626) 338-8481

Other identifiers 1

IdentifierTypeStateIssuer
930000188MedicaidCA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the 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": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1255723490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902614",
            "telephone_number": "626-338-8481",
            "fax_number": "626-960-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902614",
            "telephone_number": "626-338-8481",
            "fax_number": "626-960-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COVINA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "626-338-8481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "930000188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930000188",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.