NPIMap

Organization Active NPI

County of San Bernardino

  • General Acute Care Hospital
  • Colton, CA
National Provider Identifier
1720158009
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
240000197 Issued in CA
Legal business name
COUNTY OF SAN BERNARDINO
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 580-1000
Fax
(909) 580-2677
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mrs. Maureen Malone
Title
Chief Operating Officer
Phone
(909) 580-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 240000197 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Other names 1

  • Arrowhead Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000663 CA Part A Provider - Hospital 3870499130 Practice locations: Colton, CA; Fontana, CA; Redlands, CA; Rialto, CA; San Bernardino, CA

Hospital certification: CCN 050245

Legal name
COUNTY OF SAN BERNARDINO
Doing business as
ARROWHEAD REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 1, 2019
Beds
456
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
400 N Pepper Ave
Colton, CA 92324-1801
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Arrowhead Regional Medical CenterCCN 050245
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of San Bernardino Organization, Colton, CA 5% Or Greater Direct Ownership Interest Mar 1, 1999 100%
Other Mar 1, 1999 100%
Andrew Goldfrach Individual Corporate DirectorHospital Director Jun 1, 2024
Operational/Managerial ControlHospital Director Jun 1, 2024 100%

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
County of San BernardinoAdelanto, CA, CCN 551157 Federally qualified health center Operational/Managerial Control Jan 1, 2012
County of San BernardinoHesperia, CA, CCN 551129 Federally qualified health center Operational/Managerial Control (100%) Jan 30, 2010
Ontario Health CenterOntario, CA, CCN 921004 Federally qualified health center Other (100%) Jan 30, 2010
San Bernardino Health CenterSan Bernardino, CA, CCN 921003 Federally qualified health center Operational/Managerial Control (100%)
Other		 Jan 30, 2010
Jan 30, 2010

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 76

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

View all 76

Affiliated clinicians 292

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 292

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1720158009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000",
            "fax_number": "909-580-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000",
            "fax_number": "909-580-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "909-580-6180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "240000197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowhead Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.