DEPARTMENT OF STATE HOSPITALS (NPI# 1265406565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265406565 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF STATE HOSPITALS |
Other Organization Name | DEPARTMENT OF STATE HOSPITALS - METROPOLITAN |
Practice Address |
11401 Bloomfield Ave Norwalk CA 90650-2015 |
Mailing Address |
1600 9th Street, Room 150 Patient Cost Recovery Section Sacramento CA 95814-6414 |
Practice Telephone | 5628637011 |
Mailing Telephone | 9166518811 |
Mailing Fax Number | 9166518908 |
Enumeration Date | 2006-02-14 |
Last Update Date | 2017-09-05 |
Authorized Official Name | GUADALUPE M ALONZO-DIAZ (ADMINISTRATIVE DEPUTY DIRECTOR) |
Authorized Official Telephone | 9166542655 |
Is Organization Subpart | Y |
Parent Organization Name | DEPARTMENT OF STATE HOSPITALS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | 170000832 | CA | Nursing & Custodial Care Facilities |
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
170000832 | CA | Suppliers |
Y | 283Q00000X | Psychiatric Hospital | 170000832 | CA | Hospitals |
Other Name | Type Code |
---|---|
Department of State Hospitals - Metropolitan | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043249204 | Department of State Hospitals | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2006-07-01 |
1124078704 | Department of State Hospitals | General Acute Care Hospital | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2006-05-12 |
1174573802 | Department of State Hospitals | General Acute Care Hospital | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2006-05-11 |
1326098161 | Department of State Hospitals | General Acute Care Hospital | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2006-05-11 |
Street Address |
11401 BLOOMFIELD AVE |
City | NORWALK |
State | CA |
Zip Code | 90650-2015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477160257 | Sheila Malit Garlitos | Counselor | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2020-09-25 |
1073138368 | Kiera Himsl | Psychologist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2020-06-11 |
1467912915 | Sharonda L Quezada | Psychologist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2019-03-21 |
1518487958 | Rashed Rumi | Psychiatry & Neurology | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2017-06-27 |
1679003859 | Yuwei Hsieh | Pharmacist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2017-06-19 |
1457880874 | Lan Nhu Ngoc Truong | Pharmacist | 11401 Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
1972032456 | Janice Chan | Pharmacist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2017-06-08 |
1346778701 | Richard S. Plon | Pharmacist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2017-05-30 |
1386172823 | Michelle Doan Trang Tran | Pharmacist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2017-05-29 |
1245768779 | Dinh Dinh Cung | Pharmacist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2017-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
Find all providers in zip 90650 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700241346 | Metropolitan State Hospital | Psychiatric Hospital | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2015-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
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.