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PATTON STATE HOSPITAL
NPI 1679710362
Psychiatric Hospital in Patton, CA

Active since January 16, 2009
3102 E HIGHLAND AVE, PROGRAM 4, UNIT 35, PATTON, CA 92369(909) 425-7363(909) 425-6208 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patton State Hospital NPPES

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

PATTON STATE HOSPITAL (NPI 1679710362) is a healthcare organization registered as a psychiatric hospital in Patton, California and active in the NPI registry since January 2009. The organization lists Andrew J Tamanaha, Staff Psychologist, as its authorized official.

NPPES Registry Identity

NPI1679710362
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NamePATTON STATE HOSPITAL
Location Address3102 E HIGHLAND AVE, PROGRAM 4, UNIT 35Patton, CA 92369-7813
Mailing Address3102 E Highland Ave, Program 4, Unit 35Patton, CA 92369-7813 · (909) 425-7363 · Fax (909) 425-6208
Phone(909) 425-7363
Fax(909) 425-6208
Organization SubpartNo
Authorized OfficialAndrew J TamanahaStaff Psychologist · (909) 425-7363
Enumeration DateJanuary 16, 2009
✔ NPI 1679710362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in CA · 21662
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.
3102 E HIGHLAND AVE, Patton, CA 92369
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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.

MICHAEL DALE DEWIT LCSW
Social Worker (Clinical)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
JIALI LUAN MD
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. DEVIN RANDLE PSY.D.
Psychologist (Clinical)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 672-6394
DEPARTMENT OF STATE HOSPITALS
Psychiatric Hospital
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7552
JEFFREY WALSH M.D.
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. VICTORIA MAY KING PALENSCAR PSY.D.
Psychologist
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7791
DR. GREGORY GENE MCGOWAN M.D.
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
DR. TROY STEVEN FREIMUTH PSY. D.
Psychologist (Clinical)
3102 E HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-6043

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 Patton State Hospital's NPI number?

The NPI number for Patton State Hospital is 1679710362. It was assigned to this organization in the NPPES registry on January 16, 2009.

Where is Patton State Hospital located?

Patton State Hospital is located at 3102 E Highland Ave Program 4, Unit 35, Patton, CA 92369. The listed phone number is (909) 425-7363.

What is Patton State Hospital's specialty?

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

When was this NPI record last updated?

The NPPES record for Patton State Hospital was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.