Organization Active NPI

Emanate Health Medical Center

Doing business as Emanate Health Inter-Community Hospital

  • Specialist
  • Covina, CA
National Provider Identifier
1881619344
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EMANATE HEALTH MEDICAL CENTER
Doing business as
Emanate Health Inter-Community Hospital
Practice address
210 W San Bernardino Rd
Covina, CA 91723-1515
Phone
(626) 331-7331
Fax
(626) 732-3191
NPI assigned
Jul 13, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EMANATE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

210 W San Bernardino Rd
Covina, CA 91723-1515

Mailing address

PO Box 840145
Los Angeles, CA 90084-0145
Phone (626) 331-7331

Other names 2

  • Emanate Health Inter-Community Hospital Doing business as
  • Citrus Valley Medical Center Inter-Community H Former legal business name

National Provider Directory

National Provider Directory
Part of
Citrus Valley Health Partners

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1881619344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840145",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840145",
            "telephone_number": "626-331-7331",
            "fax_number": "626-732-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231515",
            "telephone_number": "626-331-7331",
            "fax_number": "626-732-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANATE HEALTH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMANATE HEALTH",
        "enumeration_date": "2006-07-13",
        "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": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanate Health Inter-Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Valley Medical Center Inter-Community H",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Citrus Valley Medical Center Inter-Community H",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • 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.