Vista Hospital of South Bay, LP

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

930000037 Issued in CA

Legal business name

VISTA HOSPITAL OF SOUTH BAY, LP

Doing business as

Vista Hospital of South Bay - Tri-City Campus

Practice address

21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608

Phone

(562) 860-4488

Fax

(562) 860-4489

NPI assigned

May 27, 2010

Organization subpart

Yes

Parent organization

VISTA HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Marc C. Ferrell

Title

Senior Vice-President

Phone

(909) 581-7272

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vista Hospital of South Bay - Tri-City Campus Doing business as

Part of

Vista Healthcare LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vista Healthcare, LLC

  • Point of Service
  • Rancho Cucamonga, CA
  • NPI 1083810790
  NPPES parent name

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1710206958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 W 155TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474011",
            "telephone_number": "310-323-5330",
            "fax_number": "310-768-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PIONEER BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162608",
            "telephone_number": "562-860-4488",
            "fax_number": "562-860-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HOSPITAL OF SOUTH BAY, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISTA HEALTHCARE, LLC",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SENIOR VICE-PRESIDENT",
        "authorized_official_telephone_number": "909-581-7272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "930000037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40456I",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30456I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Hospital of South Bay - Tri-City Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Hospital in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Long Term Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.