Methodist Hospital of Southern California

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

930000103 Issued in CA

Legal business name

METHODIST HOSPITAL OF SOUTHERN CALIFORNIA

Practice address

300 W Huntington Dr
Arcadia, CA 91007-3402

Phone

(626) 898-8000

Fax

(626) 898-8890

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Dan Ausman

Title

President, Ceo

Phone

(626) 574-3600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1891783239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073402",
            "telephone_number": "626-898-8000",
            "fax_number": "626-898-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073402",
            "telephone_number": "626-898-8000",
            "fax_number": "626-898-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOSPITAL OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "AUSMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "626-574-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "930000103",
            "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 Mar 2, 2012; 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.