NPIMap

Organization Active NPI

Gardena Physicians Hospital, Inc.

  • General Acute Care Hospital
  • Gardena, CA
National Provider Identifier
1568532133
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GARDENA PHYSICIANS HOSPITAL, INC.
Practice address
1246 W 155TH St
Gardena, CA 90247-4011
Phone
(310) 768-2235
Fax
(310) 768-2265
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Raymond SmithNPI 1609941632
Title
President
Phone
(714) 488-3188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X CA Primary
Skilled Nursing Facility 314000000X CA

Addresses

Primary practice location

1246 W 155TH St
Gardena, CA 90247-4011

Mailing address

1300 W 155TH St Ste 102
Gardena, CA 90247-4049
Phone (714) 488-3188

Other identifiers 3

IdentifierTypeStateIssuer
HSP40456HMedicaidCA
HSP30456HMedicaidCA
555525OtherCAMEDICARE SNF

Other names 1

  • Community Hospital of Gardena Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1568532133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 155TH ST STE 102",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474049",
            "telephone_number": "714-488-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 W 155TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474011",
            "telephone_number": "310-768-2235",
            "fax_number": "310-768-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENA PHYSICIANS HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-488-3188"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40456H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30456H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SNF",
            "identifier": "555525",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospital of Gardena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.