Canyon Ridge Hospital Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

240000357 Issued in CA

Legal business name

CANYON RIDGE HOSPITAL INC

Practice address

5353 G St
Chino, CA 91710-5249

Phone

(909) 590-3700

Fax

(909) 590-4012

NPI assigned

Jul 19, 2006

Last updated

Feb 23, 2011By 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

Steve Filton

Title

Sr VP Cfo

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902825128. Details of each certification follow.

• CCN 054111 Hospital · Active · Details

Hospital certification: CCN 054111

Legal name

CANYON RIDGE HOSPITAL INC

Doing business as

CANYON RIDGE HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Feb 13, 1990

Last certification

Aug 16, 2019

Beds

106

Ownership / control type

Private (for profit)

Most recent change of ownership

Aug 1, 2005 (2 total)

Organization structure

CorporationProprietary

Incorporated

Apr 25, 2005 in CA

Enrollment address

5353 G St
Chino, CA 91710-5249
Other Hospital Practice Location

Hospital subgroups

Psychiatric

Listed as

Canyon Ridge HospitalCCN 054111 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• BHC Alhambra Hospital Inc

  • Psychiatric Hospital
  • Rosemead, CA
  • NPI 1194758623

  Psychiatric Solutions, Inc., Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• BHC Fremont Hospital Inc

  dba Fremont Hospital

  • Psychiatric Hospital
  • Fremont, CA
  • NPI 1245346741

  Psychiatric Solutions, Inc., Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• BHC Heritage Oaks Hospital Inc.

  dba Heritage Oaks Hospital

  • Psychiatric Hospital
  • Sacramento, CA
  • NPI 1083709653

  Psychiatric Solutions, Inc., Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• BHC Sierra Vista Hospital Inc

  dba Branches Elk Grove

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1376327338

  Psychiatric Solutions, Inc., Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Del Amo Hospital, Inc

  dba Del Amo Behavioral Health System

  • Psychiatric Hospital
  • Torrance, CA
  • NPI 1245203447

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • Rehabilitation Hospital Unit
  • Palmdale, CA
  • NPI 1033109947

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Temecula Valley Hospital Inc

  dba Temecula Valley Hospital

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Uhs of Madera Inc

  dba River Vista Behavioral Health

  • Psychiatric Hospital
  • Madera, CA
  • NPI 1295464600

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Uhs-Corona Inc

  dba Corona Regional Medical Center

  • Psychiatric Hospital Unit
  • Corona, CA
  • NPI 1346236015

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Uhs-Corona Inc

  dba Corona Regional Medical Center

  • Skilled Nursing Facility
  • Corona, CA
  • NPI 1437145109

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership
• Uhs-Corona Inc

  dba Corona Regional Medical Center

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239

  Uhs of Delaware Inc, Universal Health Services Inc

  CMS ownership

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1902825128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 G ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105249",
            "telephone_number": "909-590-3700",
            "fax_number": "909-590-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 G ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105249",
            "telephone_number": "909-590-3700",
            "fax_number": "909-590-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIDGE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "240000357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM34111J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Camargo, PA-C
• Amy Cameron, PMHNP-BC
• Liza Noemi Campos, LMFT113256
• Guillermo Alberto Canjura Jr., D.D.S
• Karen Soledad Cano
• Michael Cao
• Uyen Cao
• Cardio-Interventional Specialists
• Cardio-Vascular Associates, Inc.
• Care4U HME LLC

• Psychiatric Hospital in Chino, CA
• Providers in Chino, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.