PACIFIC GARDENS MEDICAL CENTER, LLC (NPI# 1376015966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376015966 |
| Entity Type | Organization |
| Organization Name | PACIFIC GARDENS MEDICAL CENTER, LLC |
| Practice Address |
21530 Pioneer Blvd Hawaiian Gardens CA 90716-2608 |
| Mailing Address |
700 17th St Ste 201d Modesto CA 95354-1249 |
| Practice Telephone | 5628600401 |
| Practice Fax Number | 5629245871 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | GIA SMITH (CEO) |
| Authorized Official Telephone | 2095051035 |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC GARDENS MEDICAL CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144737107 | Pacific Gardens Medical Center, LLC | Home Health | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-12-29 |
| 1760998744 | Pacific Gardens Medical Center, LLC | Hospice, Inpatient | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-12-28 |
| 1912429242 | Pacific Gardens Medical Center, LLC | General Acute Care Hospital | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-07-07 |
| Street Address |
21530 PIONEER BLVD |
| City | HAWAIIAN GARDENS |
| State | CA |
| Zip Code | 90716-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659347607 | Daisy D Castro | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2006-02-28 |
| 1164930707 | California Specialty Hospital South | General Acute Care Hospital | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716 | 2018-01-17 |
| 1144737107 | Pacific Gardens Medical Center, LLC | Home Health | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-12-29 |
| 1760998744 | Pacific Gardens Medical Center, LLC | Hospice, Inpatient | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-12-28 |
| 1912429242 | Pacific Gardens Medical Center, LLC | General Acute Care Hospital | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2017-07-07 |
| 1013460757 | Charles Minh Md Inc | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2016-07-29 |
| 1295122562 | Dragos Diaconescu Md A Medical Corporation | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2015-04-23 |
| 1871991042 | Elite Golden Dreams | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2014-12-19 |
| 1689071045 | Namiko Nerio, Do, Ms, Inc | Family Medicine | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2014-12-01 |
| 1598169740 | Amir Norbaksh Do Inc | Anesthesiology | 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716-2608 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053708081 | Pathway Medical Group | Specialist | 21500 S. Pioneer Blve Suite 210, Hawaiian Gardens, CA 90716 | 2015-04-16 |
| 1790032605 | Nancy Perez | Registered Nurse | 22009 Verne Ave, Hawaiian Gardens, CA 90716 | 2012-08-09 |
| 1194098210 | Ismael B. Nacino Md Inc | Anesthesiology | 21530 Pioneer Bl, Hawaiian Garden, CA 90716 | 2012-02-21 |
| 1326248832 | William Martin Wright | Counselor | 21520 S. Pioneer Blvd., Hawaiian Gardens, CA 90716 | 2007-07-23 |
| 1134341514 | Girish H Rami | Dentist | 12144 E Carson St, # E, Hawaiian Gardens, CA 90716 | 2007-05-03 |
| 1578684080 | Keun Chan Lee | Dentist | 12531 E Carson St, Hawaiian Gardens, CA 90716 | 2007-04-02 |
| 1154451995 | Consuelo Ramirez | Social Worker | 21520 S. Pioneer Bvld., Suite 110, Hawaiian Gardens, CA 90716 | 2007-03-07 |
| 1326102013 | Hyun Chan Lee | Dentist | 12137 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-20 |
| 1871656488 | Elena G Ezpeleta | Anesthesiology | 21530 South Pioneer Blvd, Hawaiian Gardens, CA 90716 | 2006-12-18 |
| 1144388687 | Jong Chul Han | Dentist | 11846 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-05 |
| Find all providers in zip 90716 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909543 | Harmony Rehab PC | Rehabilitation Unit | 530 Showers Dr Ste 7-212, Mountain View, CA 94040-4740 | 2020-07-17 |
| 1659813012 | Jordan Leeann Isom | Rehabilitation Unit | 3322 Saint Omer St Apt 33, Cottonwood, CA 96022-9414 | 2016-11-15 |
| 1568911972 | Van Ngo | Rehabilitation Unit | 3939 Monroe Ave Apt 124, Fremont, CA 94536-6903 | 2016-09-26 |
| 1659756450 | Rehab Alliance | Rehabilitation Unit | 1720 Mt View Ave, Loma Linda, CA 92354-1727 | 2015-07-22 |
| 1265828966 | Therasens Occupational Therapy | Rehabilitation Unit | 1900 Garden Rd Ste 200c, Monterey, CA 93940-5373 | 2015-04-09 |
| 1396081394 | Quest Psychological Consulting, Inc. | Rehabilitation Unit | 18411 Gothard St Unit I, Huntington Beach, CA 92648-1208 | 2012-12-19 |
| 1477805877 | First Rehabilitation Specialists, Inc. | Rehabilitation Unit | 475 Hamilton St, San Francisco, CA 94134-1731 | 2012-10-09 |
| 1316298607 | Dynamic Therapy Group, Inc. | Rehabilitation Unit | 8100 Hansom Dr, Oakland, CA 94605-4211 | 2012-09-26 |
| 1184973752 | Providence Speech and Hearing Center | Rehabilitation Unit | 1301 Providence Ave., Orange, CA 92868 | 2012-08-29 |
| 1396003034 | Armour X Sports In Orthopedic Medicine | Rehabilitation Unit | 22482 Lake Forest Ln, Lake Forest, CA 92630-3024 | 2012-05-01 |
| Find all providers with the same taxonomy | ||||
| City | HAWAIIAN GARDENS |
| Zip Code | 90716 |
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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.