DIGNITY HEALTH (NPI# 1134687734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134687734 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH |
| Practice Address |
2340 Liberty Pkwy Ste 200 Red Bluff CA 96080-4350 |
| Mailing Address |
2550 Sister Mary Columba Dr Red Bluff CA 96080-4327 |
| Practice Telephone | 5305297760 |
| Practice Fax Number | 5305297769 |
| Mailing Telephone | 5305298000 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | KIMBERLY MIRANDA (DIGNITY HEALTH NSSA CFO) |
| Authorized Official Telephone | 5302256121 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Elizabeth Community Hospital Oncology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065445 | Dignity Health | Clinic/Center | 4975 N Dysart Rd Ste 100, Litchfield Park, AZ 85340-3087 | 2020-02-17 |
| 1609408665 | Dignity Health | Clinic/Center | 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 | 2020-02-07 |
| 1528560794 | Dignity Health | Community/Behavioral Health | 1211 S Hobart Blvd, Los Angeles, CA 90006-3113 | 2018-03-05 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1073942009 | Dignity Health | Clinic/Center | 1900 Railroad Ave, Redding, CA 96001-1802 | 2013-11-12 |
| 1992131734 | Dignity Health | General Acute Care Hospital | 7300 N 99th Ave, Glendale, AZ 85305-1400 | 2013-09-25 |
| 1720358039 | Dignity Health | Neurological Surgery | 800 N Gibson Rd Ste 101, Henderson, NV 89011 | 2012-01-03 |
| 1922276237 | Dignity Health | Hospice Care, Community Based | 1600 D St, Suite 202, Bakersfield, CA 93301-5329 | 2008-02-20 |
| 1780807248 | Dignity Health | General Acute Care Hospital | 2102 N California St, Stockton, CA 95204-6031 | 2007-04-11 |
| 1811010994 | Dignity Health | Alzheimer Center (Dementia Center) | 2345 W Orangewood Ave, Phoenix, AZ 85021-7659 | 2007-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIGNITY HEALTH | 185 Berry St Ste 300, San Francisco, CA 94107-1773 |
| New York State Corporations | DIGNITY HEALTH | 99 Washington Ave Suite 1008, Albany, Ny 12260 |
| Colorado Business Entities | Dignity Health at Home, LLC | 12745 Utica Circle, Broomfield, CO 80020 |
| System for Award Management (SAM) Entities | DIGNITY HEALTH FOUNDATION | 185 Berry Street, Suite 300, San Francisco, CA 94107-1773 |
| System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
| Colorado Business Entities | Dignity Health Purchasing Network, LLC | 198 Inverness Drive West, Englewood, CO 80112 |
| System for Award Management (SAM) Entities | DIGNITY HEALTHCARE, LLC | 535 N Park St, Uvalde, TX 78801-4363 |
| Street Address |
2340 LIBERTY PKWY STE 200 |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.