COLLEGE MEDICAL CENTER (CHLB, LLC) NPI 1215373626

General Acute Care Hospital in Long Beach, CA

NPI 1215373626 Organization General Acute Care Hospital CLIA Number 05D0669064 CLIA Certificate of Accreditation Hospital Overall Rating

NPI Profile for COLLEGE MEDICAL CENTER (CHLB, LLC)

College Medical Center (chlb, Llc) is a hospital serving the Long Beach, California region. The facility is a general acute care hospital. The NPI number of this hospital is 1215373626 and was assigned on May 2013. The hospital's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as College Medical Center. The authorized official of this NPI record is Barry J. Weiss (Manager)

According to the Hospital Compare program data, College Medical Center has a poor overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 1 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

The CLIA number of College Medical Center is 05D0669064 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to College Medical Center 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.

NPI

1215373626

Provider NameCOLLEGE MEDICAL CENTER (CHLB, LLC)
Provider Location Address2776 PACIFIC AVE LONG BEACH, CA 90806
Provider Mailing AddressPO BOX 16421 LONG BEACH, CA 90806
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCOLLEGE MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date05-14-2013
Last Update Date09-02-2014


Primary Taxonomy

Taxonomy Code282N00000X
ClassificationGeneral Acute Care Hospital
TypeHospitals
Taxonomy DescriptionAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Business Address

COLLEGE MEDICAL CENTER
2776 PACIFIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 256-8303
Fax: (562) 216-5608

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Mailing Address

COLLEGE MEDICAL CENTER
PO BOX 16421
LONG BEACH, CA
ZIP 90806
Phone: (562) 256-8303
Fax: (562) 216-5608



Authorized Official

Authorized Official Name BARRY J. WEISS
Authorized Official TitleMANAGER
Authorized Official Phone(562) 923-9449

Hospital Compare Information

Overall Quality Rating Overall Quality Rating
The overall rating is calculated by taking the weighted average of these group scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
- 1 out of 5 stars - A Poor
Hospital TypeAcute Care Hospitals - Proprietary
Emergency Services Emergency Services
Shows if the hospital provides emergency services like acute medical care or trauma care.
Yes
Mortality7 - Results are based on a shorter time period than required.
Safety of Care0 - Results are based on a shorter time period than required.
Readmission0
Patient Experience8 - Results are not available for this reporting period.
Effectiveness of Care0 - Results are not available for this reporting period.
Timeliness of Care0
Efficient use of Medical Imaging11 - Results are not available for this reporting period.

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 the NPI number 1215373626 is:

CLIA Number05D0669064
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1273R00000XHospital UnitsPsychiatric UnitNo

Taxonomy Description: in general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
050776MEDICARE OSCAR/CERTIFICATION (06)CA

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215373626
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222567664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 6 + 7 + 6 + 6 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1215373626 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366411217DR. ANGELINE CHANG BARNES M.D.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2000
1659340115DR. MARK DOYKOS M.D.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2000
1679524870JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Organization
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 595-1911
1568400463 CHRISTOPHER MCDOUGAL M.D.
Individual
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 595-1911
1184666398 STANLEY D. WILLIAMS M.D.
Individual
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 595-1911
1205878527 MARVIN C PRICHARD M.D.
Individual
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 997-2290
1861407637HEALTHSMART PACIFIC INC
Organization
General Acute Care Hospital2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 595-1911
1538269337MS. SOO JA SONG CRNA
Individual
Chore Provider2776 PACIFIC AVE
LONG BEACH, CA 90806
(714) 935-0073
1881768653 LUKE R WATSON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2232
1861533317MS. STEPHANIE ANNE ROHR CRNA
Individual
Nurse Anesthetist, Certified Registered2776 PACIFIC AVE
LONG BEACH, CA 90806
(714) 935-0073
1083839336MS. HEIDI A ENDERT P.T.
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2416
1689890543MR. KRISTOFFER FERRER
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-0552
1134346372 KRISTIN MARIE FIGUEROA-BLAND PT
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2416
1376751792MR. DANIEL JOSEPH LEWIS RPT
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2416
1003019282 RONALD D FILLMORE CRNFA
Individual
Registered Nurse (Registered Nurse First Assistant)2776 PACIFIC AVE PACIFIC HOSPITAL OF LONG BEACH
LONG BEACH, CA 90806
(760) 534-9550
1972766129DR. VESNA TEMELKOVSKA M.D.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2500
1962638270DR. KWAN-HWA WANG LIOU PHARM D
Individual
Pharmacist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2207
1306139910ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC.
Organization
Anesthesiology (Addiction Medicine)2776 PACIFIC AVE
LONG BEACH, CA 90806
(310) 205-0808
1093097818DR. LEELA ATHALYE D.O.
Individual
Family Medicine2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 305-4942
1306103783DR. CHINHNAM HATHUC D.O.
Individual
Family Medicine2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
College Medical Center is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.