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AURORA CHARTER OAK-LOS ANGELES, LLC
NPI 1619934114
Psychiatric Hospital in Covina, CA

Active since April 27, 2006
1161 E COVINA BLVD, COVINA, CA 91724(626) 966-1632(626) 859-5292 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aurora Charter Oak-los Angeles, Llc NPPES

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

AURORA CHARTER OAK-LOS ANGELES, LLC (NPI 1619934114) is a healthcare organization registered as a psychiatric hospital in Covina, California and active in the NPI registry since April 2006. The organization lists Todd Smith, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619934114
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameAURORA CHARTER OAK-LOS ANGELES, LLC
Location Address1161 E COVINA BLVDCovina, CA 91724-1523
Mailing Address1161 E Covina BlvdCovina, CA 91724-1523 · (626) 966-1632 · Fax (626) 859-5292
Phone(626) 966-1632
Fax(626) 859-5292
Organization SubpartNo
Authorized OfficialTodd SmithChief Executive Officer · (626) 966-1632
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619934114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
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.
1161 E COVINA BLVD, Covina, CA 91724
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Other Identifiers 3

MedicaidHSP44069HCA
MedicaidHSM34069HCA
MedicaidHSP34069HCA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aurora Charter Oak-los Angeles, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20041213001126Part A · HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Aurora Charter Oak (CMS certification number 054069), from CMS Care Compare.

Aurora Charter Oak

Psychiatric · Covina, CA
OwnershipVoluntary non-profit - Church
CMS Certification Number054069
Location1161 E Covina BlvdCovina, CA 91724 · Los Angeles County · (626) 966-1632
Emergency services

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.

RAINY STOUT
Registered Nurse (Psychiatric/Mental Health, Adult)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
MS. DENISE ANN REISER RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
ZAHEIB IDREES D.O.
Psychiatry & Neurology (Psychiatry)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (714) 312-0085
JUSTIN FENTON
Registered Nurse (Psychiatric/Mental Health)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
ANDREA BUJANDA PANGAN RN
Registered Nurse (Psychiatric/Mental Health)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
MR. ERWIN ORLANDO MSW
Counselor (Mental Health)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (800) 654-2673
CHARTER OAK HOSPITAL
Community/Behavioral Health
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
DR. CYRUS NASSERIAN M.D.
Psychiatry & Neurology (Psychiatry)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (909) 279-1740

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 Aurora Charter Oak-Los Angeles, LLC's NPI number?

The NPI number for Aurora Charter Oak-Los Angeles, LLC is 1619934114. It was assigned to this organization in the NPPES registry on April 27, 2006.

Where is Aurora Charter Oak-Los Angeles, LLC located?

Aurora Charter Oak-Los Angeles, LLC is located at 1161 E Covina Blvd, Covina, CA 91724. The listed phone number is (626) 966-1632.

What is Aurora Charter Oak-Los Angeles, LLC's specialty?

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

Is Aurora Charter Oak-Los Angeles, LLC enrolled in Medicare?

Yes. Aurora Charter Oak-Los Angeles, LLC is registered in the Medicare PECOS enrollment system.

When is Aurora Charter Oak-Los Angeles, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is Aurora Charter Oak-Los Angeles, LLC a Medicare-certified hospital?

Yes. Aurora Charter Oak is a Medicare-certified hospital (Psychiatric). The hospital provides emergency services.

When was this NPI record last updated?

The NPPES record for Aurora Charter Oak-Los Angeles, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.