NPIMap

Organization Active NPI

Prime Healthcare Centinela, LLC

Doing business as Centinela Hospital Medical Center

  • General Acute Care Hospital
  • Inglewood, CA
National Provider Identifier
1336328244
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000027 Issued in CA
Legal business name
PRIME HEALTHCARE CENTINELA, LLC
Doing business as
Centinela Hospital Medical Center
Practice address
555 E Hardy St
Inglewood, CA 90301-4011
Phone
(310) 680-1488
Fax
(909) 464-8887
NPI assigned
Oct 26, 2007
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Christopher Doan
Title
Chief Compliance Counsel
Phone
(909) 235-4307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000027 CA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X NU

Addresses

Primary practice location

555 E Hardy St
Inglewood, CA 90301-4011

Mailing address

3300 E Guasti Rd
3Rd Floor
Ontario, CA 91761-8655
Phone (909) 235-4307

Other names 1

  • Centinela Hospital Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000672 CA Part A Provider - Hospital 2567559875 Practice locations: Inglewood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336328244. Details of each certification follow.

Hospital certification: CCN 050739

Legal name
PRIME HEALTHCARE CENTINELA LLC
Doing business as
CENTINELA HOSPITAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 19, 2004
Last certification
Jul 17, 2023
Beds
346
Ownership / control type
Private (for profit)
Most recent change of ownership
Feb 1, 2008 (1 total)
Organization structure
LLCProprietary
Incorporated
Jun 26, 2007 in DE
Enrollment address
555 E Hardy St
Inglewood, CA 90301-4011
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Centinela Hospital Medical CenterCCN 050739 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

501 E Hardy St
Ste 300
Inglewood, CA 90301
Phone (310) 529-3162

501 E Hardy St
Ste 315
Inglewood, CA 90301
Phone (310) 419-8610

575 E Hardy St
Inglewood, CA 90301
Phone (310) 672-8209

575 E Hardy St
Ste 205
Inglewood, CA 90301
Phone (310) 275-7575

575 E Hardy St
Ste 207
Inglewood, CA 90301
Phone (310) 671-3033

Ownership & related parties

All disclosed owners & managing parties 6

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 Other Nov 1, 2007
Paryus B Patel Individual Corporate OfficerChief Medical Officer Jan 1, 2013
Corporate DirectorDirector Jan 1, 2013
Prime Healthcare Centinela LLC Organization, Inglewood, CA For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2007
Steven Aleman Individual Corporate OfficerCorporate Chief Financial Officer Jun 1, 2020
Christopher Doan Individual Corporate OfficerManaging Associate General Counsel Apr 24, 2017
Mohammad Naser Individual Corporate OfficerChief Executive Officer May 1, 2019
Corporate DirectorChairman of the Board May 1, 2019
W-2 Managing EmployeeChief Executive Officer May 1, 2019

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centinela Hospital Medical CenterInglewood, CA, CCN 05T739 Hospital 5% Or Greater Direct Ownership Interest Aug 27, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 171

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.

View all 171

Affiliated clinicians 190

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

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1336328244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E GUASTI RD",
            "address_2": "3RD FLOOR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618655",
            "telephone_number": "909-235-4307",
            "fax_number": "909-235-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "310-680-1488",
            "fax_number": "909-464-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE CENTINELA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE COUNSEL",
        "authorized_official_telephone_number": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000027",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centinela Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.