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PROVIDENCE LITTLE CO. OF MARY HOSPITAL IN SAN PEDRO
NPI 1023761715
Registered Nurse - Community Health in San Pedro, CA

Active since February 02, 2022
1300 W 7TH ST, SAN PEDRO, CA 90732(310) 514-5480 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Little Co. Of Mary Hospital In San Pedro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE LITTLE CO. OF MARY HOSPITAL IN SAN PEDRO (NPI 1023761715) is a healthcare organization registered as a community health in San Pedro, California and active in the NPI registry since February 2022. The organization lists Arnulfo Tarrobago Fernandez, Pet Team, as its authorized official.

NPPES Registry Identity

NPI1023761715
Entity TypeOrganization
Primary Taxonomy163WC1500X
Legal Business NamePROVIDENCE LITTLE CO. OF MARY HOSPITAL IN SAN PEDRO
Location Address1300 W 7TH STSan Pedro, CA 90732-3505
Mailing Address1018 8th StHermosa Beach, CA 90254-4311 · (310) 936-6161
Phone(310) 514-5480
Organization SubpartNo
Authorized OfficialArnulfo Tarrobago FernandezPet Team · (310) 514-5480
Enumeration DateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
✔ NPI 1023761715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
1300 W 7TH ST, San Pedro, CA 90732
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Other Identifiers 1

Medicaid369004CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BLAIR PHILLIP PEOPLES M.D.
Anesthesiology
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 241-2500
SUSAN MARIE SMITH RN
Registered Nurse (Psychiatric/Mental Health)
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 241-4022
DR. DAVID EMIL FELDMAN M.D.
Radiology (Diagnostic Radiology)
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 832-3311
BRIAN D. FONG M.D.
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 514-5350
KATHERINE GONZALEZ LCSW
Social Worker
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 241-4021
JENNA NICOLE EAST CCC-SLP
Speech-Language Pathologist
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 832-3311
CHRISTINA MARGARITA VILLASENOR MS, OTR/L
Occupational Therapist
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 514-5377
MARIA RENALYN RED DE GALA RNFA
Registered Nurse (Registered Nurse First Assistant)
1300 W 7TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 832-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Little Co. Of Mary Hospital In San Pedro's NPI number?

The NPI number for Providence Little Co. Of Mary Hospital In San Pedro is 1023761715. It was assigned to this organization in the NPPES registry on February 2, 2022.

Where is Providence Little Co. Of Mary Hospital In San Pedro located?

Providence Little Co. Of Mary Hospital In San Pedro is located at 1300 W 7th St, San Pedro, CA 90732. The listed phone number is (310) 514-5480.

What is Providence Little Co. Of Mary Hospital In San Pedro's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Providence Little Co. Of Mary Hospital In San Pedro was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.