Moreno Valley Community Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

MORENO VALLEY COMMUNITY HOSPITAL

Doing business as

Valley Health System

Practice address

27300 Iris Ave
Moreno Valley, CA 92555

Phone

(951) 652-2811

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael M Garko, CPA

Title

Cfo Interim Ceo

Phone

(951) 766-6472

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Valley Health System Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326135823. Details of each certification follow.

• CCN 050694 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050694

Legal name

MORENO VALLEY COMMUNITY HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Dec 17, 2008

Provider type (POS)

Hospital – Short-term

Participating since

Oct 15, 1990

Last certification

May 8, 2008

Beds

101

Ownership / control type

Hospital district or authority

Facility address

27300 Iris Avenue
Moreno Valley, CA 92555

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326135823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-652-2811",
            "fax_number": "951-925-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27300 IRIS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92555",
            "telephone_number": "951-652-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO VALLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO INTERIM CEO",
        "authorized_official_telephone_number": "951-766-6472",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40694F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30694F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM30694F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZC3305Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vivien-Leigh Morales
• Payal Morari, DO
• Daniel Morcos, MD
• Moreno Valley Children's Interagency Program
• Moreno Valley CMHC (Eleos Cognitive Center)
• Moreno Valley Community Medical Group
• Moreno Valley Dental Center
• Moreno Valley Dialysis Center
• Moreno Valley Imaging, L.L.C.
• Moreno Valley Med Care LLC

• General Acute Care Hospital in Moreno Valley, CA
• Providers in Moreno Valley, 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 Aug 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.