COMMUNITY HOSPITAL OF SAN BERNARDINO (NPI# 1235290818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235290818 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL OF SAN BERNARDINO |
| Practice Address |
1805 Medical Center Dr San Bernardino CA 92411-1217 |
| Practice Telephone | 9098876333 |
| Practice Fax Number | 9098061017 |
| Mailing Telephone | 9098876333 |
| Mailing Fax Number | 9098061017 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | DARRYL VANDENBOSCH (CFO) |
| Authorized Official Telephone | 9098817196 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 240000198 | CA | Hospital Units |
| N | 314000000X | Skilled Nursing Facility | 240000198 | CA | Nursing & Custodial Care Facilities |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HSP37939 | CA | Suppliers |
| Y | 282N00000X | General Acute Care Hospital | 240000198 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSM30089F | 05 | |
| CA | BLUE SHIELD | ZZZA3608Z | 01 |
| CA | HSC30089F | 05 | |
| CA | PHB379390 | 05 | |
| CA | LTC70044F | 05 | |
| NCPDP | 5615375 | 01 | |
| CA | ZZT40089F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395685 | Community Hospital of San Bernardino | Skilled Nursing Facility | 1676 Medical Center Dr, San Bernardino, CA 92411-1213 | 2005-06-09 |
| 1023178837 | Community Hospital of San Bernardino | Home Health | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HOSPITAL OF SAN BERNARDINO | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 |
| Street Address |
1805 MEDICAL CENTER DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306136 | Renaissance Radiology Medical Group, Inc. | Radiology | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2005-06-15 |
| 1356973747 | Cep America - Neurology PC | Psychiatry & Neurology | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2020-02-04 |
| 1750875266 | Michelle Karoline Fischer | Dietitian, Registered | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2018-06-18 |
| 1083128839 | Southland Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2017-11-30 |
| 1902275639 | James E Hill | Physician Assistant | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2015-09-23 |
| 1427427715 | Udara Samarasinghe | Physician Assistant | 1805 Medical Center Dr, San Bernardino, CA 92411 | 2015-09-17 |
| 1841623238 | Jonathan Angel Lozano | Physician Assistant | 1805 Medical Center Dr, Attention Er Dept, San Bernardino, CA 92411-1217 | 2013-08-20 |
| 1538401856 | Theresa Win | Internal Medicine | 1805 Medical Center Dr, San Bernardino, CA 92411 | 2013-03-25 |
| 1134470446 | Jillian Allard | Physician Assistant | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2012-09-26 |
| 1770860587 | Keyes Medical Services A Professional Corporation | Anesthesiology | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2011-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| 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 |
|---|---|---|---|---|
| 1982919098 | Loma Linda Univerity | General Acute Care Hospital | 175 N Plymouth Way, San Bernardino, CA 92408-4121 | 2010-08-12 |
| 1578732491 | Padmini Kelly-skinner | General Acute Care Hospital | 250 E Manchester Ln, San Bernardino, CA 92408-4168 | 2008-02-25 |
| 1689769911 | Dignity Health | General Acute Care Hospital | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 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 | SAN BERNARDINO |
| Zip Code | 92411 |
Please comment or provide details below to improve the information on COMMUNITY HOSPITAL OF SAN BERNARDINO.
| 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.