Active NPI
San Pedro Peninsula Hospital
- Skilled Nursing Facility
- Torrance, CA
National Provider Identifier
1891718797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SAN PEDRO PENINSULA HOSPITAL
- Practice address
- 3620 Lomita Blvd
Torrance, CA 90505-3938 - Phone
- (310) 303-7561
- Fax
- (310) 303-7575
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
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) 303-7561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3620 Lomita Blvd
Torrance, CA 90505-3938
Mailing address
PO Box 6668
San Pedro, CA 90734-6668
Phone (310) 303-7561
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT18678J | Medicaid | CA | |
| 056490 | Other | CA | BLUE CROSS PROV# |
| ZZZM1978B | Other | CA | BLUE SHIELD PROV# |
Other names 1
- Little Company of Mary Sub Acute Care Center
National Provider Directory
National Provider Directory- Tax ID family
- San Pedro Peninsula Hospital
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1346264801
-
- Skilled Nursing Facility
- San Pedro, CA
- NPI 1750305116
-
- Rehabilitation Hospital Unit
- San Pedro, CA
- NPI 1831113802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1891718797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6668",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907346668",
"telephone_number": "310-303-7561",
"fax_number": "310-303-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053938",
"telephone_number": "310-303-7561",
"fax_number": "310-303-7575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN PEDRO PENINSULA HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"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": "310-303-7561",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT18678J",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROV#",
"identifier": "056490",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROV#",
"identifier": "ZZZM1978B",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Little Company of Mary Sub Acute Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Torrance, 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.