NPIMap

Organization Active NPI

Pih Health Whittier Hospital

  • Rehabilitation Hospital Unit
  • Whittier, CA
National Provider Identifier
1972508893
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
930000129 Issued in CA
Legal business name
PIH HEALTH WHITTIER HOSPITAL
Practice address
12401 Washington Blvd
Whittier, CA 90602-1006
Phone
(562) 698-0811
Fax
(562) 698-6238
NPI assigned
Jun 16, 2005
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PIH HEALTH HOSPITAL WHITTIERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Sue R Ponce (Aka Carlson)
Title
Special Projects
Phone
(562) 698-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 930000129 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Whittier, CA 90602-1006

Mailing address

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

Other names 2

  • PIH Health Hospital Whittier Former legal business name
  • Presbyterian Intercommunity Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080815000536 CA Part A Provider - Hospital 3678545308 Practice locations: Whittier, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972508893. Details of each certification follow.

Hospital certification: CCN 05T169

Legal name
PIH HEALTH WHITTIER HOSPITAL
Doing business as
PIH HEALTH WHITTIER HOSPITAL ACUTE REHABILITATION CENTER
Organization structure
CorporationNon-profit
Incorporated
Feb 2, 1954 in CA
Enrollment address
12401 Washington Blvd
Whittier, CA 90602-1006
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Presbyterian IntercommunityCCN 05T169 · All quality measures
Ownership
Non-profit
Certified
Nov 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Intercom C9 organizations share this tax ID, including this one
Part of
Presbyterian Intercom C

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Marissa Goldberg Individual Corporate DirectorBoard Member Oct 1, 2021
Tracea R Saraliev Individual Corporate DirectorBoard Member Feb 8, 2024
Melanie Catherine Batiste Individual Corporate DirectorBoard Member Oct 21, 2021
Vidhyashankaran Mahalingamshivaraman Individual Corporate OfficerChiel Financial Officer May 1, 2021
Operational/Managerial ControlChief Financial Officer May 1, 2021
J Richard Atwood Individual Corporate DirectorBoard Member Apr 25, 2005
Deborah Medrano Individual Corporate DirectorBoard Member Dec 13, 2024
Charlotte a Weaver Individual Corporate DirectorBoard Member Oct 10, 2016
Regine Jeanne Syda-Lawton Individual Corporate DirectorBoard Member Dec 13, 2024
Adrian D Crisan Individual Corporate DirectorBoard Member Oct 1, 2019
Susanne R Ponce Individual Operational/Managerial ControlSpecial Projects Nov 25, 2019
Shelly L Necke Individual Operational/Managerial ControlVice President, Post-Acute Care Mar 1, 2010
Hamilton J Hamar Individual Corporate DirectorBoard Member Oct 10, 2016
Peggy a Chulack Individual Corporate OfficerChief Administrative Officer Sep 6, 2004
Operational/Managerial ControlChief Administrative Officer Sep 6, 2004
Daniel D Saket Individual Corporate DirectorBoard Member Jan 3, 2025
William Harold Roth Individual Corporate DirectorBoard Member Mar 1, 2023
Eduardo a Tovar Individual Corporate DirectorBoard Member Oct 1, 2020
Peter P Greaney Individual Corporate DirectorBoard Member Nov 13, 2018
Noel Patrick Coppinger Individual Operational/Managerial ControlVice President Revenue Cycle Oct 18, 2019
Scott Southron Individual Corporate DirectorBoard Member Dec 13, 2024
Patrick L Monroe Individual Corporate DirectorBoard Member Oct 10, 2016
Scott Krog Individual Corporate DirectorBoard Member Dec 13, 2024
James R West Individual Corporate OfficerPresident and Ceo Oct 1, 2004
Operational/Managerial ControlPresident and Ceo Oct 1, 2004
Pih Health Inc Organization, Whittier, CA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest May 8, 1981 100%
Kenton C Woods Individual Corporate DirectorBoard Member Mar 28, 2005
Paul a Treinen Individual Corporate DirectorBoard Member Nov 12, 2019
Thurso Barendse Individual Corporate DirectorBoard Member Feb 8, 2024
Alex F Alvarez Individual Corporate DirectorBoard Member Oct 9, 2017

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pih Health Whittier Hospital Transitional Care UnitWhittier, CA, CCN 555654 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Feb 15, 1996
Nov 8, 2024
Dec 13, 2024
Pih Health Good Samaritan HospitalLos Angeles, CA, CCN 555927 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Feb 19, 2025
Pih Health Home Healthcare - HospiceLa Mirada, CA, CCN 051542 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1972508893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811",
            "fax_number": "562-698-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811",
            "fax_number": "562-698-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIH HEALTH WHITTIER HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIH HEALTH HOSPITAL WHITTIER",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "PONCE (AKA CARLSON)",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPECIAL PROJECTS",
        "authorized_official_telephone_number": "562-698-0811"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "930000129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIH Health Hospital Whittier",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Presbyterian Intercommunity Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.