Active NPI
Providence Medical Institute
- Hospitalist Physician
- Torrance, CA
National Provider Identifier
1609358977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- PROVIDENCE MEDICAL INSTITUTE
- Practice address
- 4101 Torrance Blvd
Torrance, CA 90503-4607 - Phone
- (310) 303-6833
- NPI assigned
- Sep 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Wayne Anderson
- Title
- Assistant Secretary-Enrollment
- Phone
- (425) 525-5392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | CA | Primary |
Addresses
Primary practice location
4101 Torrance Blvd
Torrance, CA 90503-4607
Mailing address
21311 Madrona Ave Ste 101
Torrance, CA 90503-5970
Phone (310) 792-4015
Other practice location 1
15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 496-4610
Other practice location 2
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 792-4015
Other practice location 3
501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-3893
Other practice location 4
18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 708-5199
Other practice location 5
1300 W 7th St
San Pedro, CA 90732-3505
Phone (310) 514-5401
Other practice location 6
1386 W 7th St
San Pedro, CA 90732-3517
Phone (310) 514-5401
National Provider Directory
National Provider Directory- Tax ID family
- Medical Institute of LC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
-
- Family Medicine Physician
- Torrance, CA
- NPI 1356394175
-
- Family Medicine Physician
- Torrance, CA
- NPI 1972546091
-
- Maternal & Fetal Medicine Physician
- Harbor City, CA
- NPI 1548487143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536019200000",
"number": "1609358977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21311 MADRONA AVE STE 101",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035970",
"telephone_number": "310-792-4015",
"fax_number": "310-792-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 TORRANCE BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034607",
"telephone_number": "310-303-6833"
}
],
"practiceLocations": [
{
"address_1": "15031 Rinaldi St",
"address_purpose": "LOCATION",
"city": "Mission Hills",
"state": "CA",
"postal_code": "913451207",
"country_code": "US",
"telephone_number": "818-496-4610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 Santa Monica Blvd",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042303",
"country_code": "US",
"telephone_number": "310-792-4015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 S Buena Vista St",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915054809",
"country_code": "US",
"telephone_number": "818-847-3893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18321 Clark St",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913563501",
"country_code": "US",
"telephone_number": "818-708-5199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 W 7th St",
"address_purpose": "LOCATION",
"city": "San Pedro",
"state": "CA",
"postal_code": "907323505",
"country_code": "US",
"telephone_number": "310-514-5401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1386 W 7th St",
"address_purpose": "LOCATION",
"city": "San Pedro",
"state": "CA",
"postal_code": "907323517",
"country_code": "US",
"telephone_number": "310-514-5401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROVIDENCE MEDICAL INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY-ENROLLMENT",
"authorized_official_telephone_number": "425-525-5392",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.