Memoria Hospital of Gardena

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEMORIA HOSPITAL OF GARDENA

Practice address

1145 W Redondo Beach Blvd
Gardena, CA 90247-3528

Phone

(310) 512-6169

Fax

(310) 512-6126

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Steve Popkins

Title

Ceo

Phone

(310) 512-6204

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gardena Hospital LP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Gardena Hospital LP

  • General Acute Care Hospital
  • Gardena, CA
  • NPI 1063412005
  NPD tax ID
• Gardena Hospital LP

  • Institutional Pharmacy
  • Gardena, CA
  • NPI 1669491700
  NPD tax ID

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1669650792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473528",
            "telephone_number": "310-512-6169",
            "fax_number": "310-512-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473528",
            "telephone_number": "310-512-6169",
            "fax_number": "310-512-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIA HOSPITAL OF GARDENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "POPKINS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-512-6204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB463690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenifer Melendez
• Patricia Melendrez
• Laura Melgar
• Gilberto Gonzalez Melo, RPH.
• Marisol Membreno
• Memorial Pathology Medical Group Inc
• Isaac Aquino Men
• Janine Mena
• Hannah Mendelsohn, M.S., BCBA
• Genesis Mendez Garcia

• All providers in Gardena, CA
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.