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DEPARTMENT OF STATE HOSPITALS - PATTON
NPI 1043249204
Psychiatric Hospital in Patton, CA

Active since July 01, 2006CLIA 05D0914394 · Microscopy
3102 E HIGHLAND AVE, PATTON, CA 92369(909) 425-7552(909) 425-6407 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Department Of State Hospitals - Patton NPPES

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

DEPARTMENT OF STATE HOSPITALS - PATTON (NPI 1043249204) is a healthcare organization registered as a psychiatric hospital in Patton, California and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through April 28, 2028 and lists Guadalupe M Alonzo-diaz, Administrative Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1043249204
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameDEPARTMENT OF STATE HOSPITALS
Location Address3102 E HIGHLAND AVEPatton, CA 92369-7813
Mailing Address1215 O Street, Ms-3, Patient Cost Recovery SectionSacramento, CA 95814-6414 · (916) 651-8811 · Fax (916) 651-8908
Phone(909) 425-7552
Fax(909) 425-6407
Organization SubpartYes
Authorized OfficialGuadalupe M Alonzo-diazAdministrative Deputy Director · (916) 654-2655
Enumeration DateJuly 1, 2006
Last NPPES UpdateJune 28, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1043249204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in CA · 170000831
Definition

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.

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 170000831 (CA)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 170000831 (CA)
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 170000831 (CA)
Also ListedPharmacyTaxonomy 333600000X · License 170000831 (CA)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 170000831 (CA)
3102 E HIGHLAND AVE, Patton, CA 92369
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Other Names 1

Doing Business AsDepartment Of State Hospitals - Patton

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0914394

Department Of State Hospitals - Patton · Patton, CA
Active · expires Apr 28, 2028
CLIA Number05D0914394
Laboratory TypeForensic Fac Draw Station
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorLuzmin Inderias
Laboratory Phone(909) 425-6268
Laboratory LocationDepartment Of State Hospitals - Patton3102 East Highland Ave Eb Bldg, 2nd Fl, Patton, CA 92369
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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. STEVEN R JENKINS PHD
Psychologist
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
ROBIN CAMPBELL PHD
Psychologist
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. TROY STEVEN FREIMUTH PSY. D.
Psychologist (Clinical)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-6043
JIAN ZHANG M.D.
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. BARBARA JEAN STRONG M.D.
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (916) 654-2431
MIYOKO OAKS LCSW
Social Worker (Clinical)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. CHARLOTTE SHERIN SINGLETON PSY.D.
Psychologist
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-6126
DR. VICTORIA MAY KING PALENSCAR PSY.D.
Psychologist
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7791

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 Department Of State Hospitals's NPI number?

The NPI number for Department Of State Hospitals is 1043249204. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is Department Of State Hospitals located?

Department Of State Hospitals is located at 3102 E Highland Ave, Patton, CA 92369. The listed phone number is (909) 425-7552.

What is Department Of State Hospitals's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Department Of State Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0914394) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Department Of State Hospitals accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee, Molina Healthcare and Oscar Health Insurance and 6 other insurers list Department Of State Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Department Of State Hospitals was last updated on June 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.