NPIMap

Organization Active NPI

Emanate Health Medical Center

Doing business as Emanate Health Inter-Community Hospital

  • Specialist
  • Covina, CA
National Provider Identifier
1407871965
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EMANATE HEALTH MEDICAL CENTER
Doing business as
Emanate Health Inter-Community Hospital
Intercommunity Screening Center
Practice address
315 N 3Rd Ave Ste 203
Covina, CA 91723-1915
Phone
(626) 331-7331
NPI assigned
Jul 13, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EMANATE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Roger Sharma
Title
Executive VP/Cfo
Phone
(626) 938-7595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

315 N 3Rd Ave Ste 203
Covina, CA 91723-1915

Mailing address

PO Box 840145
Los Angeles, CA 90084-0145
Phone (626) 331-7331

Other identifiers 1

IdentifierTypeStateIssuer
171413OtherCAFDA APPROVAL#

Other names 3

  • Emanate Health Inter-Community Hospital Doing business as
  • INTERCOMMUNITY SCREENING CENTER Doing business as
  • Citrus Valley Medical Center Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Emanate Health Medical Center4 organizations share this tax ID, including this one
Part of
Citrus Valley Health Partners

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

315 N 3rd Ave
Ste 203
Covina, CA 91723
Phone (626) 915-6266

Practitioners & affiliated clinicians

Practitioners 4

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1407871965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840145",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840145",
            "telephone_number": "626-331-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 203",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231915",
            "telephone_number": "626-331-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANATE HEALTH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMANATE HEALTH",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "EXECUTIVE VP/CFO",
        "authorized_official_telephone_number": "626-938-7595"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA APPROVAL#",
            "identifier": "171413",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanate Health Inter-Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTERCOMMUNITY SCREENING CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTERCOMMUNITY SCREENING CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Valley Medical Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.