PIH HEALTH GOOD SAMARITAN HOSPITAL
NPI 1083895627
Skilled Nursing Facility in Los Angeles, CA
NPI Status: Active since November 26, 2007
Contact Information
1225 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90017
Phone: (213) 977-2121
Fax: (213) 202-7118
- Organization
- Skilled Nursing Facility
- CLIA Number: 05D0541582
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About PIH HEALTH GOOD SAMARITAN HOSPITAL
This page provides the complete NPI Profile along with additional information for Pih Health Good Samaritan Hospital, a provider established in Los Angeles, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1083895627 assigned on November 2007. The practitioner's primary taxonomy code is 314000000X with license number 930000071 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Good Samaritan Hospital. The authorized official of this NPI record is Susanne (sue) R Ponce (aka Carlson) (Special Projects)
- NPI
- 1083895627
- Provider Legal Name
- PIH HEALTH GOOD SAMARITAN HOSPITAL
- Other Organization Name
- GOOD SAMARITAN HOSPITAL
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1225 WILSHIRE BLVD LOS ANGELES, CA 90017
- Location Phone
- (213) 977-2121
- Location Fax
- (213) 202-7118
- Mailing Address
- 1225 WILSHIRE BLVD LOS ANGELES, CA 90017
- Mailing Phone
- (213) 977-2121
- Mailing Fax
- (213) 202-7118
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-26-2007
- Last Update Date
- 11-29-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 930000071
- License State
- CA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0541582
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. BORIS M. SKYAR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Pih Health Good Samaritan Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083895627, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083895627, enumerated as an "organization" on November 26, 2007.
The provider is located at 1225 WILSHIRE BLVD LOS ANGELES, CA 90017 and the phone number is (213) 977-2121.
Skilled Nursing Facility with taxonomy code 314000000X.
