NPIMap

Organization Active NPI

Torrance Health Association Inc

Doing business as Torrance Memorial Physician Network

  • Orthopaedic Surgery Physician
  • Hermosa Beach, CA
National Provider Identifier
1841721768
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TORRANCE HEALTH ASSOCIATION INC
Doing business as
Torrance Memorial Physician Network
Practice address
705 Pier Ave
Suite B
Hermosa Beach, CA 90254-3941
Phone
(310) 784-2355
Fax
(310) 517-1817
NPI assigned
Mar 22, 2017
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Sally Eberhard
Title
Senior Vice President
Phone
(310) 325-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

705 Pier Ave
Suite B
Hermosa Beach, CA 90254-3941

Mailing address

23326 Hawthorne Blvd
Suite 200
Torrance, CA 90505-3725
Phone (310) 257-7205

Other identifiers 1

IdentifierTypeStateIssuer
7501510004OtherCAMEDICARE DME

Other names 1

  • TORRANCE MEMORIAL PHYSICIAN NETWORK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170605000923 CA DME Supplier - Multi-Specialty - Physician 1355302134 Practice locations: Hermosa Beach, CA

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2080605Torrance Memorial Physician Network705 Pier Ave Ste a, Hermosa Beach, CA 90254Certificate of waiverJul 9, 2028
05D2083674Torrance Memorial Physician Network705 Pier Ave Ste C, Hermosa Beach, CA 90254Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Torrance Health Assn Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Torrance Memorial HealthTorrance, CA, CCN 050351 Hospital Other Jul 25, 1984
Torrance Memorial Medical CenterTorrance, CA, CCN 555599 Skilled nursing facility Operational/Managerial Control Jul 25, 1984
Torrance Memorial Home HealthTorrance, CA, CCN 057788 Home health agency Operational/Managerial Control Jul 25, 1984
Torrance Memorial HospiceTorrance, CA, CCN 051615 Hospice Other Jul 25, 1984

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1841721768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053725",
            "telephone_number": "310-257-7205",
            "fax_number": "310-598-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PIER AVE",
            "address_2": "SUITE B",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543941",
            "telephone_number": "310-784-2355",
            "fax_number": "310-517-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORRANCE HEALTH ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "EBERHARD",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "310-325-9110"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "7501510004",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TORRANCE MEMORIAL PHYSICIAN NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermosa Beach, CA

Sources for this page

Verify at the official NPI Registry.