NPIMap

Organization Active NPI

San Pedro Peninsula Hospital

  • Rehabilitation Hospital Unit
  • San Pedro, CA
National Provider Identifier
1831113802
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
SAN PEDRO PENINSULA HOSPITAL
Practice address
1300 W 7TH St
San Pedro, CA 90732-3505
Phone
(310) 303-7496
Fax
(310) 303-7575
NPI assigned
Jul 26, 2006
Organization subpart
Yes
Parent organization
SAN PEDRO PENINSULA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mrs. Elizabeth Zuanich
Title
Cfo
Phone
(310) 303-7496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1300 W 7TH St
San Pedro, CA 90732-3505

Mailing address

PO Box 541024
Los Angeles, CA 90054-1024
Phone (310) 303-7496

Other identifiers 1

IdentifierTypeStateIssuer
05T078OtherCABLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
San Pedro Peninsula Hospital4 organizations share this tax ID, including this one
Part of
San Pedro Peninsula Hospital

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1831113802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541024",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900541024",
            "telephone_number": "310-303-7496",
            "fax_number": "310-303-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323505",
            "telephone_number": "310-303-7496",
            "fax_number": "310-303-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PEDRO PENINSULA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN PEDRO PENINSULA HOSPITAL",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ZUANICH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-303-7496",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05T078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.