Laguna Honda Hospital

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

G62077 Issued in CA

Legal business name

LAGUNA HONDA HOSPITAL

Practice address

1 Tisbury LN
Richmond, CA 94805-1231

Phone

(510) 233-3531

NPI assigned

Nov 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Nicole Riley, M.D.

Title

Attending Physician

Phone

(415) 759-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851462972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TISBURY LN",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051231",
            "telephone_number": "510-233-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TISBURY LN",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051231",
            "telephone_number": "510-233-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA HONDA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "415-759-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "G62077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.