San Dimas Community Hospital, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

93000039 Issued in CA

Legal business name

SAN DIMAS COMMUNITY HOSPITAL, INC.

Practice address

1350 W Covina Blvd
San Dimas, CA 91773-3245

Phone

(909) 599-6811

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Craig C. Armin

Title

VP of Govt Programs, Tenet

Phone

(310) 775-8043

Specialties & licenses 1

Addresses

Other identifiers 18

Other names 1

• San Dimas Community Hospital Doing business as

Tax ID family

Prime Healthcare Services - San Dimas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prime Healthcare Services - San Dimas LLC

  • Skilled Nursing Facility
  • San Dimas, CA
  • NPI 1447100748
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• San Dimas Community Hospital, Inc.

  • Skilled Nursing Facility
  • San Dimas, CA
  • NPI 1568487619
  NPPES parent name

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1811929359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57543",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "626-300-4122",
            "fax_number": "909-599-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W COVINA BLVD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733245",
            "telephone_number": "909-599-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "ARMIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
        "authorized_official_telephone_number": "310-775-8043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "93000039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTER VALLEY HEALTH PLAN",
            "identifier": "95-3783605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPOINT HEALTH NETWORKS",
            "identifier": "95-3783616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "578531560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN",
            "identifier": "95-3783606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "050588B000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "95-3783611",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40588G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X-0220213",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE OF CALIFORNIA",
            "identifier": "005316-0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENET EMPLOYEES BENEFIT P",
            "identifier": "95-3783614",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30588G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "199470000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "8423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER FOUNDATION HEALTH",
            "identifier": "95-3783607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS ANGELES FOUNDATION FO",
            "identifier": "95-3783608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET HEALTHCARE",
            "identifier": "95-3783602",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CALIFORNIA",
            "identifier": "ZZZA2019Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Dimas Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Salinas, OTR/L
• Gayle Samples, MFT
• San Dimas Anesthesia Medical Group
• San Dimas Care LLC
• San Dimas Community Hospital, Inc.
• San Dimas Counseling, LLC
• San Dimas Dialysis Center a Medical Corporation
• San Dimas Emergency Medical Associates Inc.
• San Dimas Family and Sedation Dentistry
• San Dimas Family and Sedation Dentistry

• General Acute Care Hospital in San Dimas, CA
• Providers in San Dimas, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.