NPIMap

Organization Active NPI

Menifee Valley Medical Center

  • General Acute Care Hospital
  • Sun City, CA
National Provider Identifier
1881781482
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
250000338 Issued in CA
Legal business name
MENIFEE VALLEY MEDICAL CENTER
Practice address
28400 McCall Blvd
Sun City, CA 92586
Phone
(951) 652-2811
Fax
(951) 925-6323
NPI assigned
Oct 6, 2006
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Michael M Garko, CPA
Title
Cfo Interim Ceo
Phone
(951) 766-6472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 250000338 CA Primary

Addresses

Primary practice location

28400 McCall Blvd
Sun City, CA 92586

Mailing address

1117 E Devonshire Ave
Hemet, CA 92543

Other identifiers 3

IdentifierTypeStateIssuer
HSC30684FOtherCAMEDICAL
HSP40684FOtherCAMEDICAL
ZZZC3300ZOtherCABLUE SHIELD

Other names 1

  • A California Local Healthcare District Other name

National Provider Directory

National Provider Directory
Tax ID family
KPC Global Medical Centers Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

500 E Olive Ave
Ste 840
Burbank, CA 91501
Phone (213) 373-3246

1000 E Latham Ave
Ste E
Hemet, CA 92543
Phone (951) 925-7653

3989 W Stetson Ave
Ste 202
Hemet, CA 92545
Phone (951) 652-3558

949 Calhoun Pl
Ste D
Hemet, CA 92543
Phone (951) 652-8000

25470 Medical Center Dr
Ste 102
Murrieta, CA 92562
Phone (951) 698-6090

25495 Medical Center Dr
Ste 304
Murrieta, CA 92562
Phone (951) 506-9536

25495 Medical Center Dr
Ste 306
Murrieta, CA 92562
Phone (951) 304-9300

3637 Vista Way
Oceanside, CA 92056
Phone (760) 758-2008

27830 Bradley Rd
Sun City, CA 92586
Phone (951) 672-3888

29798 Haun Rd
Ste 308
Sun City, CA 92586
Phone (951) 301-7611

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

41637 Margarita Rd
Ste 100
Temecula, CA 92591
Phone (951) 296-9300

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

36320 Inland Valley Dr
Ste 203
Wildomar, CA 92595
Phone (951) 200-2220

36320 Inland Valley Dr
Ste 307
Wildomar, CA 92595
Phone (909) 600-0110

Practitioners & affiliated clinicians

Practitioners 157

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.

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1881781482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28400 MCCALL BLVD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-652-2811",
            "fax_number": "951-925-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENIFEE VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "GARKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO INTERIM CEO",
        "authorized_official_telephone_number": "951-766-6472",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "250000338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "HSC30684F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "HSP40684F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZC3300Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A California Local Healthcare District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.