PRIME HEALTHCARE PARADISE VALLEY LLC (NPI# 1194898486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194898486 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE PARADISE VALLEY LLC |
| Other Organization Name | PARADISE VALLEY HOSPITAL |
| Practice Address |
330 Moss St Chula Vista CA 91911-2005 |
| Mailing Address |
5451 Walnut Ave Chino CA 91710-2609 |
| Practice Telephone | 6194704321 |
| Mailing Telephone | 9094648847 |
| Mailing Fax Number | 9094648887 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL JOSEPH SARRAO (VICE-PRESIDENT & GENERAL COUNSEL) |
| Authorized Official Telephone | 9094648847 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Paradise Valley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306161 | Prime Healthcare Paradise Valley LLC | Clinic/Center | 330 Moss St, Chula Vista, CA 91911-2005 | 2020-11-04 |
| 1144402819 | Prime Healthcare Paradise Valley LLC | Psychiatric Unit | 2400 E 4th St, National City, CA 91950-2026 | 2007-12-04 |
| Street Address |
330 MOSS ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306161 | Prime Healthcare Paradise Valley LLC | Clinic/Center | 330 Moss St, Chula Vista, CA 91911-2005 | 2020-11-04 |
| 1467979898 | Roland Bolor | Registered Nurse | 330 Moss St, Chula Vista, CA 91911-2005 | 2017-08-25 |
| 1740679927 | Rubina Dhani | Marriage & Family Therapist | 330 Moss St, Chula Vista, CA 91911-2005 | 2015-01-12 |
| 1518363662 | Lionel Hernandez | Case Manager/Care Coordinator | 330 Moss St, Chula Vista, CA 91911-2005 | 2014-11-17 |
| 1720413800 | Elara Norami Montagno | Counselor | 330 Moss St, Chula Vista, CA 91911-2005 | 2013-09-09 |
| 1295177749 | Christina Furnival | Counselor | 330 Moss St, Chula Vista, CA 91911-2005 | 2013-07-25 |
| 1689019432 | Renee Ortiz | Marriage & Family Therapist | 330 Moss St, Chula Vista, CA 91911-2005 | 2013-05-07 |
| 1891042032 | Ericka J Cuevas | Marriage & Family Therapist | 330 Moss St, Chula Vista, CA 91911-2005 | 2012-08-07 |
| 1174899264 | Robyn Rae Ramsey | Marriage & Family Therapist | 330 Moss St, Chula Vista, CA 91911-2005 | 2012-03-22 |
| 1740596246 | Brenda Vidaca | Case Manager/Care Coordinator | 330 Moss St, Chula Vista, CA 91911-2005 | 2010-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385614 | Norma Villa | General Acute Care Hospital | 861 Buen Tiempo Dr, Chula Vista, CA 91910-6501 | 2016-01-29 |
| 1932632031 | Rady Children's Hospital San Diego | General Acute Care Hospital | 333 H St, 3010, Chula Vista, CA 91910-5555 | 2017-04-05 |
| 1821445479 | Sharp Chula Vista Medical Center | General Acute Care Hospital | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2016-05-24 |
| 1396728630 | Sharp Chula Vista Medical Center | General Acute Care Hospital | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2005-11-21 |
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| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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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.