PACIFIC GARDENS MEDICAL CENTER, LLC (NPI# 1144737107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144737107 |
| Entity Type | Organization |
| Organization Name | PACIFIC GARDENS MEDICAL CENTER, LLC |
| Other Organization Name | PACIFIC GARDENS MEDICAL CENTER, HOME HEALTH |
| Practice Address |
21530 Pioneer Blvd Hawaiian Gardens CA 90716-2608 |
| Mailing Address |
700 17th St Ste 201d Modesto CA 95354-1249 |
| Practice Telephone | 5628600401 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | GIA SMITH (CEO) |
| Authorized Official Telephone | 2095051035 |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC GARDENS MEDICAL CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Pacific Gardens Medical Center, Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376015966 | Pacific Gardens Medical Center, LLC | Rehabilitation Unit | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2018-12-20 |
| 1760998744 | Pacific Gardens Medical Center, LLC | Hospice, Inpatient | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-12-28 |
| 1912429242 | Pacific Gardens Medical Center, LLC | General Acute Care Hospital | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-07-07 |
| Street Address |
21530 PIONEER BLVD |
| City | HAWAIIAN GARDENS |
| State | CA |
| Zip Code | 90716-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659347607 | Daisy D Castro | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2006-02-28 |
| 1376015966 | Pacific Gardens Medical Center, LLC | Rehabilitation Unit | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2018-12-20 |
| 1164930707 | California Specialty Hospital South | General Acute Care Hospital | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716 | 2018-01-17 |
| 1760998744 | Pacific Gardens Medical Center, LLC | Hospice, Inpatient | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-12-28 |
| 1912429242 | Pacific Gardens Medical Center, LLC | General Acute Care Hospital | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-07-07 |
| 1013460757 | Charles Minh Md Inc | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2016-07-29 |
| 1295122562 | Dragos Diaconescu Md A Medical Corporation | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2015-04-23 |
| 1871991042 | Elite Golden Dreams | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2014-12-19 |
| 1689071045 | Namiko Nerio, Do, Ms, Inc | Family Medicine | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2014-12-01 |
| 1598169740 | Amir Norbaksh Do Inc | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053708081 | Pathway Medical Group | Specialist | 21500 S. Pioneer Blve Suite 210, Hawaiian Gardens, CA 90716 | 2015-04-16 |
| 1790032605 | Nancy Perez | Registered Nurse | 22009 Verne Ave, Hawaiian Gardens, CA 90716 | 2012-08-09 |
| 1194098210 | Ismael B. Nacino Md Inc | Anesthesiology | 21530 Pioneer Bl, Hawaiian Garden, CA 90716 | 2012-02-21 |
| 1326248832 | William Martin Wright | Counselor | 21520 S. Pioneer Blvd., Hawaiian Gardens, CA 90716 | 2007-07-23 |
| 1134341514 | Girish H Rami | Dentist | 12144 E Carson St, # E, Hawaiian Gardens, CA 90716 | 2007-05-03 |
| 1578684080 | Keun Chan Lee | Dentist | 12531 E Carson St, Hawaiian Gardens, CA 90716 | 2007-04-02 |
| 1154451995 | Consuelo Ramirez | Social Worker | 21520 S. Pioneer Bvld., Suite 110, Hawaiian Gardens, CA 90716 | 2007-03-07 |
| 1326102013 | Hyun Chan Lee | Dentist | 12137 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-20 |
| 1871656488 | Elena G Ezpeleta | Anesthesiology | 21530 South Pioneer Blvd, Hawaiian Gardens, CA 90716 | 2006-12-18 |
| 1144388687 | Jong Chul Han | Dentist | 11846 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-05 |
| Find all providers in zip 90716 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1174124994 | Soul Care Home Health | Home Health | 21243 Ventura Blvd Ste 235, Woodland Hills, CA 91364-2113 | 2020-11-06 |
| 1942801840 | Integrated Home Health Care Inc | Home Health | 6354 Van Nuys Blvd Ste 101, Van Nuys, CA 91401-2601 | 2020-11-06 |
| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1588265441 | Tender Home Health | Home Health | 17031 Chatsworth St Ste 201, Granada Hills, CA 91344-5883 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | HAWAIIAN GARDENS |
| Zip Code | 90716 |
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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.