NPIMap

Organization Active NPI

Aurora Las Encinas, LLC

Doing business as Aurora Las Encinas Hospital

  • Psychiatric Hospital
  • Pasadena, CA
National Provider Identifier
1700843216
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
AURORA LAS ENCINAS, LLC
Doing business as
Aurora Las Encinas Hospital
Practice address
2900 E del Mar Blvd
Pasadena, CA 91107-4375
Phone
(626) 795-9901
Fax
(626) 356-2503
NPI assigned
Apr 27, 2006
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Helen Easley
Title
Executive Assistant
Phone
(626) 795-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

2900 E del Mar Blvd
Pasadena, CA 91107-4375

Mailing address

2900 E del Mar Blvd
Pasadena, CA 91107-4375
Phone (626) 795-9901

Other identifiers 3

IdentifierTypeStateIssuer
HSP34078GMedicaidCA
HSM34078GMedicaidCA
HSP44078GMedicaidCA

Other names 1

  • Aurora Las Encinas Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030106000004 CA Part A Provider - Hospital 5193633170 Practice locations: Pasadena, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1700843216. Details of each certification follow.

Hospital certification: CCN 054078

Legal name
AURORA LAS ENCINAS, LLC
Doing business as
AURORA LAS ENCINAS LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 14, 1985
Last certification
Oct 6, 2021
Beds
118 (96 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Sep 12, 2002 in CA
Enrollment address
2900 E del Mar Blvd
Pasadena, CA 91107-4375
Main/Primary Hospital Location
Hospital subgroups
Alcohol/drug, Psychiatric

Hospital certification: CCN 05098E

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAS ENCINAS HOSP
Certification status
Active
Provider type (POS)
Hospital
Participating since
Mar 1, 1991
Last certification
Mar 1, 1991
Beds
125
Facility address
2900 E del Mar Blvd
Pasadena, CA 91107

Care Compare: Hospital

Medicare Care Compare
Listed as
Aurora Las EncinasCCN 054078 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0556426Aurora Las Encinas Hospital LLC2900 East del Mar Blvd, Pasadena, CA 91107Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

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
Signature Healthcare Services, LLC Organization, Troy, MI LLC, Management services company, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 27, 2002 100%
Kathleen Kim Individual OtherBoard Member Jan 1, 2005 20%
Trevor Asmus Individual Corporate OfficerCeo Sep 21, 2019 100%
Operational/Managerial ControlCeo Sep 21, 2019 100%
Wade Sturgeon Individual Corporate OfficerCfo Mar 1, 2021 100%
W-2 Managing EmployeeCfo Mar 1, 2021 100%
Operational/Managerial ControlCfo Mar 1, 2021 100%
Soon Kim Individual 5% Or Greater Indirect Ownership Interest Sep 12, 2002 100%
Daniel T Suzuki Individual OtherBoard Member Jan 1, 2005 20%

Facilities with the same owner 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1700843216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074375",
            "telephone_number": "626-795-9901",
            "fax_number": "626-356-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074375",
            "telephone_number": "626-795-9901",
            "fax_number": "626-356-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA LAS ENCINAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "626-795-9901"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP34078G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM34078G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP44078G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Las Encinas Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.