PROVIDENCE MEDICAL INSTITUTE (NPI# 1609358977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609358977 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE MEDICAL INSTITUTE |
| Practice Address |
4101 Torrance Blvd Torrance CA 90503-4607 |
| Mailing Address |
21311 Madrona Ave Ste 101 Torrance CA 90503-5970 |
| Practice Telephone | 3103036833 |
| Mailing Telephone | 3107924015 |
| Mailing Fax Number | 3107924093 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | MR. DONALD WAYNE ANDERSON (ASSISTANT SECRETARY-ENROLLMENT) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 S Buena Vista St, Burbank, CA 915054809 | 8188473893 | |
| 18321 Clark St, Tarzana, CA 913563501 | 8187085199 | |
| 1386 W 7th St, San Pedro, CA 907323517 | 3105145401 | |
| 1300 W 7th St, San Pedro, CA 907323505 | 3105145401 | |
| 2121 Santa Monica Blvd, Santa Monica, CA 904042303 | 3107924015 | |
| 15031 Rinaldi St, Mission Hills, CA 913451207 | 8184964610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1356394175 | Providence Medical Institute | Dermatology | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2006-05-19 |
| 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 |
| 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 |
| Street Address |
4101 TORRANCE BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-4607 |
| 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 |
| 1750869566 | Providence Little Company of Mary, Torrance | General Acute Care Hospital | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2018-08-02 |
| 1861998973 | Sara Lee | Pharmacist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2018-04-05 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093771768 | Colette Mcfadden | Hospitalist | 19191 S Vermont Ave, Torrance, CA 90502-1018 | 2006-04-21 |
| 1194135053 | Kelly Anne Enright | Hospitalist | 3330 Lomita Blvd, 1st Floor: Hcp Office, Torrance, CA 90505 | 2014-04-30 |
| 1801239975 | Allen K Chang | Hospitalist | 3330 Lomita Blvd, Healthcare Partners, Torrance, CA 90505-5002 | 2013-04-09 |
| 1841559002 | Kevin Mak | Hospitalist | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2012-05-09 |
| 1598043770 | Janice J Suh | Hospitalist | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2011-07-22 |
| 1174787642 | Richard M Butlig Md Inc | Hospitalist | 1727 Crenshaw Blvd, Torrance, CA 90501-3312 | 2008-07-15 |
| 1114119914 | Nimish Patel | Hospitalist | 1000 W. Carson St., Torrance, CA 90509 | 2007-08-15 |
| 1699732610 | Steven Wong | Hospitalist | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2006-04-26 |
| 1922061308 | Michael Robert Kammerman | Hospitalist | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830813 | Ikigai Physician Group Inc | Hospitalist | 1523 Main St, Fortuna, CA 95540-2430 | 2020-04-22 |
| 1760012959 | Mylea N Wiley Md Inc. | Hospitalist | 6246 N 1st St. Ste 101, Fresno, CA 93710-5480 | 2020-01-16 |
| 1972152072 | The Hospitalist Group, LLC | Hospitalist | 5150 E Pacific Coast Hwy Ste 500, Long Beach, CA 90804-3328 | 2019-09-10 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1871025957 | Saba Arshad | Hospitalist | 30924 Granger Ave, Union City, CA 94587-1621 | 2017-03-29 |
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1912378324 | Huntington Specialist & Nursing Corporation | Hospitalist | 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 | 2015-10-12 |
| 1639551435 | Jaafar Al-dahwi | Hospitalist | 847 Lemieux Ln, Clovis, CA 93619-5702 | 2015-06-29 |
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
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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.