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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NPI 1497241541
General Acute Care Hospital in San Pedro, CA

Active since July 02, 2018
2/5
Overall Rating
1386 W 7TH ST # A, SAN PEDRO, CA 90732(310) 241-4330(310) 241-4342 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2025, Jul 2, 2018 (2 updates tracked since 2018).

About Providence Health System - Southern California NPPES

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

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA (NPI 1497241541), doing business as Providence Little Company Of Mary Medical Center San Pedro Obhc, is a healthcare organization registered as a general acute care hospital in San Pedro, California and active in the NPI registry since July 2018. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1497241541
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Location Address1386 W 7TH ST # ASan Pedro, CA 90732-3517
Mailing AddressPo Box 541024Los Angeles, CA 90054-1024 · (310) 303-7496 · Fax (310) 303-7575
Phone(310) 241-4330
Fax(310) 241-4342
Organization SubpartYesParent: Providence Health System - Southern Califorina
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJuly 2, 2018
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1497241541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 930000142
Definition

An 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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1386 W 7TH ST # A, San Pedro, CA 90732
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Little Company Of Mary Medical Center San Pedro Obhc

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Providence Little Comp Of Mary Subacute Care Ctr (CMS certification number 555848), from CMS Care Compare.

Providence Little Comp Of Mary Subacute Care Ctr

Nursing home · San Pedro, CA
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number555848
Certified Beds125 beds100 residents per day on average
Medicare & Medicaid Participant SinceMarch 21, 2008
Resident & Family CouncilResident council
Hospital-based Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
183
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.45 · LPN 3.71 · RN 2.01
9.17 hrs per resident per day
Weekend Nurse Staffing
8.28 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
41.7%
Registered Nurse Turnover
43.4%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
0
Fines
2 totaling $11,820.25
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Health System - Southern California's NPI number?

The NPI number for Providence Health System - Southern California is 1497241541. It was assigned to this organization in the NPPES registry on July 2, 2018. The provider is doing business as Providence Little Company of Mary Medical Center San Pedro OBHC.

Where is Providence Health System - Southern California located?

Providence Health System - Southern California is located at 1386 W 7th St # A, San Pedro, CA 90732. The listed phone number is (310) 241-4330.

What is Providence Health System - Southern California's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Providence Health System - Southern California a Medicare-certified nursing home?

Yes. Providence Little Comp Of Mary Subacute Care Ctr is a Medicare-certified nursing home with 125 certified beds.

What quality rating does Providence Health System - Southern California have?

CMS rates Providence Little Comp Of Mary Subacute Care Ctr 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Providence Health System - Southern California was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.