PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NPI 1821019514
Rehabilitation Unit in San Pedro, CA
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 1821019514), doing business as Providence Little Company Of Mary Medical Center San Pedro, is a healthcare organization registered as a rehabilitation unit in San Pedro, California and active in the NPI registry since July 2006. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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.
SAN PEDRO, CA 90732
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 1821019514. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Providence Little Company of Mary Medical Center San Pedro.
Where is Providence Health System - Southern California located?
Providence Health System - Southern California is located at 1300 W 7th St, San Pedro, CA 90732. The listed phone number is (310) 303-7496.
What is Providence Health System - Southern California's specialty?
The primary specialty registered for this NPI is Rehabilitation Unit with taxonomy code 273Y00000X.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.