PROVIDENCE MEDICAL INSTITUTE


Address: 4101 Torrance Blvd, Torrance, CA 90503-4607
Phone: 3107938075

PROVIDENCE MEDICAL INSTITUTE (NPI# 1356394175) 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) 1356394175
Entity Type Organization
Organization Name PROVIDENCE MEDICAL INSTITUTE
Other Organization Name PROVIDENCE LITTLE COMPANY OF MARY
Practice Address 4101 Torrance Blvd
Torrance
CA 90503-4607
Mailing Address 21311 Madrona Ave Ste 101
Torrance
CA 90503-5970
Practice Telephone 3107938075
Practice Fax Number 3107938195
Mailing Telephone 3107924015
Mailing Fax Number 3107924093
Enumeration Date 2006-05-19
Last Update Date 2018-11-28
Authorized Official Name DONALD WAYNE ANDERSON (ASSISTANT SECRETARY-ENROLLMENT)
Authorized Official Telephone 4255255392
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
N 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Providence Little Company of Mary Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1300 W 7th St, San Pedro, CA 907323505 3108323311

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609358977 Providence Medical Institute Hospitalist 4101 Torrance Blvd, Torrance, CA 90503-4607 2018-09-04
1972546091 Providence Medical Institute Internal Medicine 4101 Torrance Blvd, Torrance, CA 90503-4607 2006-06-14
1760425862 Providence Medical Institute Orthopaedic Surgery 4101 Torrance Blvd, Torrance, CA 90503-4607 2006-06-14
1235182569 Providence Medical Institute Internal Medicine 4101 Torrance Blvd, Torrance, CA 90503-4607 2006-05-18
1376594671 Providence Medical Institute Family Medicine 4101 Torrance Blvd, Torrance, CA 90503-4607 2006-05-12
1417915760 Providence Medical Institute Obstetrics & Gynecology 4101 Torrance Blvd, Torrance, CA 90503-4607 2006-05-03

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PROVIDENCE MEDICAL INSTITUTE 1801 Lind Ave Sw, Renton, WA 98057
Washington State Corporations PROVIDENCE MEDICAL INSTITUTE Dept of Legal Affairs, 1801 Lind Ave. Sw, Renton, WA 98057
Colorado Business Entities Providence Medical Institute 1801 Lind Ave. Sw, Renton, WA 98057

Office Location

Street Address 4101 TORRANCE BLVD
City TORRANCE
State CA
Zip Code 90503-4607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437142312 Little Co Pharmacy Pharmacy 4101 Torrance Blvd, Torrance, CA 90503-4607 2005-08-25
1265044143 Vanessa Escobar Student in an Organized Health Care Education/Training Program 4101 Torrance Blvd, Torrance, CA 90503-4607 2020-08-20
1538782149 Sabrina Rae Verzosa Co Pharmacist 4101 Torrance Blvd, Torrance, CA 90503-4607 2020-05-19
1689210718 Daniel Abanoub Keroles Pharmacist 4101 Torrance Blvd, Torrance, CA 90503-4607 2019-11-25
1134761091 Zahra Esmail D O Professional Corp Internal Medicine 4101 Torrance Blvd, Torrance, CA 90503-4607 2019-10-11
1598312498 Jonathan Malcolm Rojas Nurse Practitioner 4101 Torrance Blvd, Torrance, CA 90503-4607 2019-08-25
1497308936 Katelyn Hicks Nurse Practitioner 4101 Torrance Blvd, Torrance, CA 90503-4607 2019-07-23
1780140780 Shahida P Meghani Nurse Practitioner 4101 Torrance Blvd, Torrance, CA 90503-4607 2019-02-14
1609358977 Providence Medical Institute Hospitalist 4101 Torrance Blvd, Torrance, CA 90503-4607 2018-09-04
1750869566 Providence Little Company of Mary, Torrance General Acute Care Hospital 4101 Torrance Blvd, Torrance, CA 90503-4607 2018-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013562180 Jason Anthony Maglinao Chiropractor 21010 Anza Ave., #12, Torrance, CA 90503 2019-08-06
1891288890 Ehab Samaan Dds Inc Dentist 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 2018-06-13
1740771435 Icare California House Call Practice LLC Nurse Practitioner 4460 Spencer St, Torrance, CA 90503 2018-05-29
1396258729 South Bay Home Care, Inc., Dba Always Best Care - South Bay In Home Supportive Care 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 2017-11-07
1770093023 Home Care Professional Services, Inc. In Home Supportive Care 3838 West Carson Street, Suite 208, Torrance, CA 90503 2017-10-01
1003355686 Mona Nejad Dentist 4305 Torrance Blvd Ste 103, Torrance, CA 90503 2017-02-16
1497114722 Jacqueline Martinez Technician, Other 4201 Torrance Blvd Suite 190, Torrance, CA 90503 2016-02-15
1093196255 Hanmo Gu Chiropractor 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 2015-06-13
1164813341 Aimee Y Miyazawa Specialist/Technologist 20501 Earl St. Ste. 3, Torrance, CA 90503 2015-02-10
1396145231 Nicole Soghomonian Social Worker 5010 Merrill St, Torrance, CA 90503 2014-08-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417554023 Hameed A. Khan, M.d., Inc. Family Medicine 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 2020-10-06
1306495908 Global Grace Medical Services Inc Family Medicine 21171 S Western Ave Ste 2710, Torrance, CA 90501-1728 2019-09-06
1386298685 Shaw Medical Group Professional Corporation Family Medicine 1001 W Carson St Ste I, Torrance, CA 90502-2051 2019-07-25
1982137212 Amanda L Jamal Family Medicine 1020 Acacia Ave, Torrance, CA 90501-2010 2017-04-04
1285170613 Winnel Inc. Family Medicine 24554 Hawthorne Blvd, Torrance, CA 90505-6807 2017-01-09
1841602521 Sheena Malik Family Medicine 21311 Madrona Ave Ste 100a, Torrance, CA 90503 2014-05-29
1235477498 Pacific Coast Osteopathy Family Medicine 21311 Hawthorne Blvd, Suite 103, Torrance, CA 90503 2013-01-23
1376828582 William Momary Family Medicine 19915 Tomlee Ave., Torrance, CA 90503-1154 2011-10-19
1639479041 Derek Mcgrath Browne Family Medicine 22719 Hawthorne Blvd, Torrance, CA 90505-3613 2010-11-01
1306150149 Mizuta Medical Group, Inc. Family Medicine 3655 Lomita Blvd Ste 115, Torrance, CA 90505-1906 2010-08-04
Find all providers in TORRANCE

Competitor

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City TORRANCE
Zip Code 90503

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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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