Organization Active NPI

Little Company of Mary - San Pedro Hospital

  • Skilled Nursing Facility
  • Torrance, CA
National Provider Identifier
1295771483
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LITTLE COMPANY OF MARY - SAN PEDRO HOSPITAL
Practice address
3620 Lomita Blvd
Torrance, CA 90505-3938
Phone
(310) 303-7561
Fax
(310) 303-7575
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mrs. Elizabeth Zuanich
Title
Cfo
Phone
(310) 303-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3620 Lomita Blvd
Torrance, CA 90505-3938

Mailing address

PO Box 6668
San Pedro, CA 90734-6668
Phone (310) 303-7561

Other identifiers 4

IdentifierTypeStateIssuer
LTC70027HMedicaidCA
ZZZM1978BOtherCABLUE SHIELD
056490OtherCABLUE CROSS
ZZT18678KMedicaidCA

Other names 1

  • Little Company of Mary Sub Acute Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1295771483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6668",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907346668",
            "telephone_number": "310-303-7561",
            "fax_number": "310-303-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053938",
            "telephone_number": "310-303-7561",
            "fax_number": "310-303-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE COMPANY OF MARY - SAN PEDRO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ZUANICH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-303-7561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70027H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZM1978B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "056490",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18678K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Company of Mary Sub Acute Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.