SAN FERNANDO COMMUNITY HOSPITAL


Address: 732 Mott St, Suite 100, San Fernando, CA 91340-4237
Phone: 8189635690

SAN FERNANDO COMMUNITY HOSPITAL (NPI# 1245669555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245669555
Entity Type Organization
Organization Name SAN FERNANDO COMMUNITY HOSPITAL
Other Organization Name SAN FERNANDO COMMUNITY HEALTH CENTER
Practice Address 732 Mott St
Suite 100
San Fernando
CA 91340-4237
Practice Telephone 8189635690
Practice Fax Number 8183650726
Mailing Telephone 8189635690
Mailing Fax Number 8183650726
Enumeration Date 2013-11-06
Last Update Date 2020-04-21
Authorized Official Name MS. AUDREY L. SIMONS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8183655059
Authorized Official Credential MSHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 20A14847 CA Allopathic & Osteopathic Physicians
N 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities
N 3140N1450X Skilled Nursing Facility
Specialization: Nursing Care, Pediatric
A48255 CA Nursing & Custodial Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 4640840 05

Other Provider/Organization Names

Other Name Type Code
San Fernando Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013061597 San Fernando Community Hospital Psychiatric Unit 14850 Roscoe Blvd, Panorama City, CA 91402-4618 2007-01-22

Office Location

Street Address 732 MOTT ST
SUITE 100
City SAN FERNANDO
State CA
Zip Code 91340-4237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922152446 Partners In Care Foundation Pharmacist 732 Mott St, Suite 150, San Fernando, CA 91340-4237 2007-01-22
1679040752 Linda Mach Social Worker 732 Mott St, San Fernando, CA 91340-4237 2018-10-26
1003395765 Heidi Glenda Lennartz Social Worker 732 Mott St, San Fernando, CA 91340-4237 2018-08-13
1811400245 Norma Almance Villalobos Social Worker 732 Mott St, San Fernando, CA 91340-4237 2017-11-07
1699122341 Partners In Care Foundation Inc Case Management 732 Mott St, San Fernando, CA 91340-4237 2016-05-23
1841621919 Partners In Care Foundation Case Management 732 Mott St, Suite 150, San Fernando, CA 91340-4237 2013-11-27
1942541875 Partners In Care Foundation Inc Dietitian, Registered 732 Mott St, Ste 150, San Fernando, CA 91340-4237 2013-03-01
1386948636 Elaine H. Der Pharmacist 732 Mott St, Suite 150, San Fernando, CA 91340-4237 2010-12-30
1336379759 Karol Ann Matson Dietitian, Registered 732 Mott St, Suite150, San Fernando, CA 91340-4237 2009-07-20
1659591253 Partners In Care Foundation Case Management 732 Mott St, Suite 150, San Fernando, CA 91340-4237 2007-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043844301 Atalla Dental Corp. Clinic/Center 557 N. Maclay Ave., San Fernando, CA 91340 2020-02-26
1235623190 Kohan & Rodef Dental Corporation Dentist 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 2018-06-14
1700388766 North Valley Diagnostics Services, Inc. Electrodiagnostic Medicine 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 2018-03-06
1750889531 Garfield Beach Cvs, L.l.c Durable Medical Equipment & Medical Supplies 1204 San Fernando Rd, San Fernando, CA 91340 2018-01-26
1689118598 Maira Yesenia Lopez Counselor 565 S. Brand Blvd, San Fernando, CA 91340 2016-12-12
1386042166 Afsaneh Mazaheri-sichani Dentist 777 Turman St., Suite 107, San Fernando, CA 91340 2014-12-11
1396154167 Lorena Tercero Marriage & Family Therapist 302 S. Brand Blvd, San Fernando, CA 91340 2014-08-06
1689082836 Germine Aznavour Pharmacist 12920 Foothill Blvd, San Fernando, CA 91340 2014-07-31
1841605151 Aswani Dental Corporation Clinic/Center 12940 Foothill Blvd Ste C, San Fernando, CA 91340 2014-06-25
1467705624 Brenda Lira Social Worker 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 2012-10-24
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396399986 Ali Anari Md Inc Clinic/Center 107 N Maclay Ave, San Fernando, CA 91340-2906 2019-07-31
1902119449 Robert O. Flores, M.d. Inc. Clinic/Center 11273 Laurel Canyon Blvd, Suite 1, San Fernando, CA 91340-4300 2010-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699521 Flora Lim Clinic/Center 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 2020-11-08
1902405715 Riverside Primary Care Clinic, Joanna Ayala Md Clinic/Center 3978 Merrill Ave, Riverside, CA 92506 2020-10-22
1275131765 Uzoma Uwakah Clinic/Center 2521 Seminary Ave # 1, Oakland, CA 94605-1307 2020-10-15
1508464470 Pestle Health LLC Clinic/Center 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 2020-10-13
1902404247 Arbol Acupuncture Clinic/Center 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 2020-10-09
1346857802 Sos Environmental Health Clinic/Center 59 Estaban Dr, Camarillo, CA 93010-1609 2020-09-29
1457966442 Carlos A. Alvarez., Md., Inc Clinic/Center 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 2020-09-15
1265046395 Riverway Medical Group A Medical Corporation Clinic/Center 1827 S Court St Ste B, Visalia, CA 93277-5469 2020-09-05
1386258754 Apollo Health Services Inc Clinic/Center 438 E Katella Ave Ste 229, Orange, CA 92867-4803 2020-09-03
1538772843 Unlimited Urgent Care Inc. Clinic/Center 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 2020-08-26
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Competitor

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City SAN FERNANDO
Zip Code 91340

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Dataset Information

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.

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