Emanate Health Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMANATE HEALTH MEDICAL CENTER

Doing business as

Emanate Health Queen of the Valley Hospital

Practice address

1115 S Sunset Ave
West Covina, CA 91790-3940

Phone

(626) 962-4011

NPI assigned

Jul 11, 2006

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

EMANATE HEALTHAs reported in NPPES

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

Authorized official

Name

Roger Sharma

Title

Executive VP/Cfo

Phone

(626) 938-7595

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Emanate Health Queen of the Valley Hospital Doing business as
• CITRUS VALLEY MEDICAL CENTER INC Former legal business name

Part of

Citrus Valley Health Partners

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1740214808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 0147",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840147",
            "telephone_number": "626-814-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940",
            "telephone_number": "626-962-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANATE HEALTH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMANATE HEALTH",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "EXECUTIVE VP/CFO",
        "authorized_official_telephone_number": "626-938-7595"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SO CA",
            "identifier": "209",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55556F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA",
            "identifier": "ZZZA1939Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanate Health Queen of the Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITRUS VALLEY MEDICAL CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CITRUS VALLEY MEDICAL CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emanate Health Hospice
• Emanate Health Medical Care Foundation
• Emanate Health Medical Center (Citrus Valley Medical Center Queen Of the Valley Campus)
• Emanate Health Medical Center (Emanate Health Medical Center Pharmacy)
• Emanate Health Medical Center (Emanate Health Queen of the Valley Hospital)
• Emanate Health Medical Center (Emanate Health Queen of the Valley Hospital)
• Embodied Healing
• Emergency Response Systems, Inc.
• Bruce S Emerson, LMFT
• Emes Management Inc. (country view assisted living)

• Skilled Nursing Facility in West Covina, CA
• Providers in West Covina, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.