PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NPI 1942247291
General Acute Care Hospital in San Pedro, CA

NPI Status: Active since June 02, 2006

Contact Information

1300 W 7TH ST
SAN PEDRO, CA
ZIP 90732
Phone: (310) 303-7496
Fax: (310) 303-7575

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  • Organization
  • General Acute Care Hospital

About PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

This page provides the complete NPI Profile along with additional information for Providence Health System - Southern California, a provider established in San Pedro, California operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1942247291 assigned on June 2006. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)

NPI
1942247291
Provider Legal Name
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1300 W 7TH ST SAN PEDRO, CA 90732
Location Phone
(310) 303-7496
Location Fax
(310) 303-7575
Mailing Address
PO BOX 2335 SPOKANE, WA 99210
Mailing Phone
(310) 303-7496
Mailing Fax
(310) 303-7575
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2006
Last Update Date
05-09-2025
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 01-01-1984 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Secondary Locations

  • 1386 W 7th St # A
    San Pedro, CA 90732
    (310) 241-4330

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HSC30078GMEDICAID (05)CA 
ZZT30078GMEDICAID (05)CA 
ZZZA1925ZOTHER (01)CABLUE SHIELD PROV NUMBER
ZZT40078GMEDICAID (05)CA 
050078OTHER (01)CABLUE CROSS PROV NUMBER
HSD30078GMEDICAID (05)CA 

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA has an ownership type of Non-profit
  • The facility received it's medicare certification date on 01-01-1984
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions17
Brain disease or condition (non-traumatic)11
Brain injury (traumatic)18
Hip or femur fracture11
Hip or knee replacement, amputation or other bone or joint condition17
Nervous system disorder (excluding stroke)27
Spinal cord disease or condition (non-traumatic)26
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke97

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942247291, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 4 + 4 + 1 + 4 + 2 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1942247291.

Other Providers at the Same Location


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

Anesthesiology
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST, EMERGENCY DEPARTMENT
SAN PEDRO, CA 90732
Skilled Nursing Facility
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Nurse Practitioner
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Nurse Practitioner
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Physician Assistant
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Nurse Practitioner
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Nurse Practitioner
1300 W 7TH ST
SAN PEDRO, CA 90732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942247291, enumerated as an "organization" on June 02, 2006.

The provider is located at 1300 W 7TH ST SAN PEDRO, CA 90732 and the phone number is (310) 303-7496.

General Acute Care Hospital with taxonomy code 282N00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.