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

Q: 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.

Active since June 02, 2006

1300 W 7TH ST, SAN PEDRO, CA 90732(310) 303-7496(310) 303-7575 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 21, 2022, Jun 16, 2018 and 2 more (5 updates tracked since 2018).

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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 1942247291), doing business as Providence Little Company Of Mary Medical Center San Pedro, is a healthcare organization registered as a general acute care hospital in San Pedro, California and active in the NPI registry since June 2006. The organization maintains a secondary practice location in San Pedro and lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1942247291

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NamePROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

Location Address1300 W 7TH STSan Pedro, CA 90732-3505

Mailing AddressPo Box 2335Spokane, WA 99210-2335 · (310) 303-7496 · Fax (310) 303-7575

Phone(310) 303-7496

Fax(310) 303-7575

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateJune 2, 2006

Last NPPES UpdateMay 9, 20255 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1942247291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

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.

1300 W 7TH ST, San Pedro, CA 90732

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Other Names 2

Doing Business AsProvidence Little Company Of Mary Medical Center San Pedro

Other NameProv Little Co Of Mary San Pedro

Secondary Practice Location 1

Location 11386 W 7th St # ASan Pedro, CA 90732-3517 · Phone (310) 241-4330 · Fax (310) 241-4342

Other Identifiers 6

MedicaidHSC30078GCA

MedicaidZZT30078GCA

OtherZZZA1925ZCA · Blue Shield Prov Number

MedicaidZZT40078GCA

Other050078CA · Blue Cross Prov Number

MedicaidHSD30078GCA

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Providence Health System - Southern California (CMS certification number 05T078), from CMS Care Compare.

Providence Health System - Southern California

Inpatient rehabilitation facility · San Pedro, CA

OwnershipNon-profit

CMS Certification Number05T078

Medicare-Certified SinceJanuary 1, 1984

Location1300 W. Seventh StreetSan Pedro, CA 90732

Phone(310) 514-5402

Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation

Stroke

patient stays

Nervous system disorder (excluding stroke)

patient stays

Spinal cord disease or condition (non-traumatic)

patient stays

Brain injury (traumatic)

patient stays

Hip or knee replacement, amputation or other bone or joint condition

patient stays

Brain disease or condition (non-traumatic)

patient stays

Hip or femur fracture

patient stays

Spinal cord injury (traumatic)

Less than 11 patient stays

All other conditions

patient stays

Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found

Drug Regimen Review · 228 patient stays

100%

Patients given a current list of their medications at discharge

Transfer of Health Information to the Patient · 218 patient stays

98.2%

Patients who meet or exceed the self-care ability expected for their condition at discharge

Discharge Self-Care Score · 203 patient stays

66.5%

Patients who meet or exceed the mobility expected for their condition at discharge

Discharge Mobility Score · 203 patient stays

48.8%

Patients who meet or exceed the overall function expected at discharge

Discharge Function Score · 203 patient stays

50.74%

Patients who experienced one or more falls with major injury during their stay

228 patient stays · Lower rates are better for this measure.

Patients with pressure ulcers or injuries that are new or worsened

Risk-adjusted rate · 228 patient stays · observed rate 0.4% · Lower rates are better for this measure.

0.4%

Healthcare workers given the influenza vaccine

68 healthcare workers

61.8%

Healthcare workers up to date on COVID-19 vaccination

47 healthcare workers

10.6%

Clostridioides difficile (C. diff) infections

0 observed infections · 2.246 predicted · 5,830 patient days

0.000

standardized infection ratio

No Different than the National Benchmark

Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community

163 of 202 patient stays · observed rate 80.69%

82.53%

risk-standardized rate

Better than the National Rate

Potentially preventable readmissions within 30 days after discharge

5 readmissions of 195 patient stays · observed rate 2.56% · Lower rates are better for this measure.

7.63%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions during the rehabilitation stay

11 readmissions of 209 patient stays · observed rate 5.26% · Lower rates are better for this measure.

4.72%

risk-standardized rate

No Different than the National Rate

Medicare spending per episode of care

1.00 = national average per episode of care · based on 196 episodes

0.89

spending ratio

Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

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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.

DR. BLAIR PHILLIP PEOPLES M.D.

Anesthesiology