Providence Health System - Southern California

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

Doing business as

Providence Holy Cross Medical Center

Practice address

15031 Rinaldi St
Mission Hills, CA 91345-1207

Phone

(818) 365-8051

Fax

(818) 496-4569

NPI assigned

Jul 18, 2006

Last updated

May 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald W Anderson Jr.

Title

Assistant Secretary Enrollments

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• Providence Holy Cross Medical Center Doing business as

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1902824758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-3017",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911103017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 RINALDI ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451207",
            "telephone_number": "818-365-8051",
            "fax_number": "818-496-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Holy Cross Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence Holy Cross Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prohealth-Valley Occupational Medical Group
• Providence Facey Medical Foundation (Facey Endoscopy Center)
• Providence Health System - Southern California (Providence Holy Cross Medical Center)
• Providence Health System - Southern California (Providence Holy Cross Trauma Center)
• Providence Health System - Southern California (Providence Holy Cross Medical Center)
• Providence Holy Cross Medical Center
• Providence Pediatrics Inc
• Brittany Lorraine Pulido
• Pure Hearts Child and Family Therapy Center Inc.
• Puresource Advanced Inc (Mission Hills Pharmacy)

• Rehabilitation Hospital Unit in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.