PDF California Children Services Approved Hospital Report

[Pages:20]NPI

1891938122

Legal Name

Ahmc Anaheim Reg Med Ctr

Business Name

Ahmc Anaheim Reg Med Ctr

1275720377

Ahmc San Gabriel Valley

San Gabriel Valley Medical

1396764353

Alameda Health System

Highland General Hospital

California Children Services Approved Hospital Report

Facility Type

Special

StartDt

EndDt

09/15/1979

General Community (over 14 without

pediatric license)

12/29/2003

General Community (over 14 without

pediatric license)

12/27/2005

1518996040

American Hospital Management Mad River Community Hospital

Limited

09/01/1984

1366419517

Antelope Valley Healthcare

Antelope Valley Hospital

Pediatric Community

12/01/1982

1770587107

Asante

Rogue Valley Medical Center

Standard

05/12/1980

1467538520

Bakersfield Memorial

Bakersfield Memorial Hospita

Pediatric Community

04/06/2009

1538197231

Banner Lassen Medical Center Banner Lassen Medical Ct

Limited

12/01/2014

1003867565

Barton Healthcare System

Barton Memorial Hospital

Limited

01/01/1979

County

Address

Orange Los Angeles Alameda Humboldt Los Angeles

Kern Lassen El Dorado

1111 W La Palma Avenue Anaheim CA 92801-2804 438 W Las Tunas Drive San Gabriel CA 91776-1216 1411 E 31st Street Oakland CA 94602-1018 3800 Janes Road Arcata CA 95521-4788 1600 W Ave J Lancaster CA 93534-2814 2825 E Barnett Road Medford OR 97504-8332 420 34th Street Bakersfield CA 93301-2237 1800 Spring Ridge Drive Susanville CA 96130-6100 2170 South Avenue S Lake Tahoe CA 96150-7026

Phone

(714) 774-1450 (626) 289-5454 (510) 437-4800 (951) 652-2811 (661) 949-5000 (541) 789-4728 (661) 327-4647 (530) 252-2000 (530) 541-3420

11/5/22 6:18 PM

Page 1 of 20

NPI

1952777245

Legal Name

Casa Colina Hospital And

Business Name

Casa Colina Hospital

Facility Type

Special

1639172372

Cedars-Sinai Medical Ctr

Cedars Sinai Med Ctr

Tertiary

1033247622

Central California

Delano Regional Med Cntr

Pediatric Community

1922033547

Cha Hollywood Medical

Hollywood Presbyterian Med

Pediatric Community

1699868398

Childrens Hosp At

Childrens Hosp of Orange

Pediatric Community

1003961251

Childrens Hospital Medical

Childrens Hospital And Resea

Tertiary

1811080526

Childrens Hospital of

Childrens Hospital of Orange

Tertiary

1124073366

Childrens Hospital of La

Childrens Hospital of La

Tertiary

1114109337

City of Hope Helford

City of Hope Helford

Special

1932197258

Community Hospital

Community Hospital

Limited

11/5/22 6:18 PM

StartDt

EndDt

04/01/2016

01/01/1977

10/22/2001

03/22/1999

04/06/2009

11/01/1984 12/01/1979 01/01/1955 07/01/1979 07/01/1978

County

Address

Los Angeles Los Angeles Kern Los Angeles Orange

Alameda Orange Los Angeles Los Angeles Monterey

255 East Bonita Avenue Pomona CA 91767-1923 8700 Beverly Boulevard Los Angeles CA 90048-1804 1401 Garces Highway Delano CA 93215-3690 1300 N Vermont Avenue Los Angeles CA 90027-6005 27700 Med Center Road 5th Fl Mission Viejo CA 92691-6426 747 52nd Street Oakland CA 94609 1201 W La Veta Avenue Orange CA 92868-3874 4650 W Sunset Boulevard Los Angeles CA 90027-6062 1500 Duarte Road Duarte CA 91010-3012 23625 Holman Highway Monterey CA 93940-5902

Phone

(909) 596-7733 (310) 855-5000 (661) 725-4800 (323) 644-4452 (714) 365-2180

(510) 428-3000 (714) 997-3000 (323) 660-2450 (818) 359-8111 (831) 624-5311

Page 2 of 20

NPI

1215903018

Legal Name

Community Memorial Health

Business Name

Comm Mem Hosp San

Facility Type

Special

1275540171

County of Los Angeles Rancho National Rehabilitation

Special

1699979245

County of Monterey

Natividad Medical Center

Pediatric Community

1821159195

County of Riverside

Riverside University Health

Pediatric Community

1790781169

County of San Bernardino

Arrowhead Regional Medical

Pediatric Community

1629167457

County of Ventura

Ventura County Medical Cente

Pediatric Community

1538163886

Dameron Hospital

Pacific Heart And Vascular C

Pediatric Community

1104856095

Desert Regional Medical

Desert Regional Medical

Pediatric Community

1467560599

Dignity Community Care

Methodist Hospital of Sacram

Pediatric Community

1417089350

Dignity Community Care

Northridge Hospital Medical

Pediatric Community

11/5/22 6:18 PM

StartDt

EndDt

01/23/1998

03/03/1980

03/01/1996

04/01/1975

04/14/2000

04/01/1978

01/01/1998

04/03/2003

01/01/2002

12/05/1961

County

Address

Ventura

147 N Brent Street Ventura CA 93003-2809

Los Angeles

7601 Imperial Highway Downey CA 90242-3456

Monterey

1441 Constitution Boulevard Salinas CA 93906-3100

Riverside

26520 Cactus Avenue Moreno Valley CA 92555-3927

San Bernardino 400 N Pepper Avenue Colton CA 92324-1801

Ventura

300 Hillmont Avenue Ventura CA 93003-3099

San Joaquin

525 W Acacia Street Stockton CA 95203-2484

Riverside

1150 N Indian Canyon Drive Palm Springs CA 92262-4872

Sacramento

7500 Hospital Drive Sacramento CA 95823-5403

Los Angeles

18300 Roscoe Boulevard Northridge CA 91325-4105

Phone

(805) 652-5011 (562) 401-7022 (831) 755-4111 (951) 486-4470 (909) 580-2634 (805) 652-6000 (209) 944-5550 (760) 323-6511 (916) 423-3000 (818) 885-8500

Page 3 of 20

NPI

1114081056

Legal Name

Dignity Community Care

1073665360

Dignity Health

1194840421

Dignity Health

1427181007

Dignity Health

1972541498

Dignity Health

1518018191

Dignity Health

1104981661

Dignity Health

1689769911

Dignity Health

1518085430

Dignity Health

1083732853

Dignity Health

Business Name

California Hospital Medical St Johns Regional Medical Ce St Mary Medical Center Dominican Hospital Mercy San Juan Medical Ctr Mercy Medical Center Mercy Hospital St Bernardine Medical Center Mercy Med Ctr Mt Shasta St Elizabeth Comm Hosp

Facility Type

Pediatric Community

StartDt

EndDt

06/16/2017

General Community (over 14 without

pediatric license)

05/01/1978

Pediatric Community

10/17/2003

Pediatric Community

11/01/1978

Pediatric Community

02/23/2006

General Community (over 14 without

pediatric license)

03/02/2008

General Community (over 14 without

pediatric license)

03/28/2003

General Community (over 14 without

pediatric license)

06/01/1980

Limited

01/01/1996

Limited

01/01/1980

County

Address

Los Angeles

1401 S Grand Avenue Los Angeles CA 90015-3010

Ventura

1600 N Rose Avenue Oxnard CA 93030-3722

Los Angeles

1050 Linden Avenue Long Beach CA 90813-3321

Santa Cruz

1555 Soquel Drive Santa Cruz CA 95065-1705

Sacramento

6501 Coyle Avenue Carmichael CA 95608-0306

Merced

333 Mercy Avenue Merced CA 95340-8319

Kern

2215 Truxtun Avenue Bakersfield CA 93301-3602

San Bernardino 2101 N Waterman Avenue San Bernardino CA 92404-4836

Siskiyou

914 Pine Street Mount Shasta CA 96067-2143

Tehama

2550 Sister Mary Columba Red Bluff CA 96080-4327

Phone

(213) 748-2411 (415) 438-5500 (562) 491-9810 (831) 462-7700 (916) 537-5000 (415) 438-5500 (661) 632-5000 (415) 438-5500 (530) 926-6111 (530) 529-8000

11/5/22 6:18 PM

Page 4 of 20

NPI

1477671535

Legal Name

Dignity Health

Business Name

Mercy Medical Center Redding

Facility Type

Pediatric Community

StartDt

EndDt

01/01/2002

1760510937

Dignity Health

Marian Regional Medical Cen

1184654923

Doctors Medical Center of

Doctors Medical Center of

Pediatric Community

09/30/2001

General Community (over 14 without

pediatric license)

09/01/1993

1396087672

Doctors Medical Center of

Emanuel Medical Center

Limited

08/01/2014

1093712374

El Camino Hosp

El Camino Hosp

Standard

07/01/1997

1861409823

El Centro Regional Medical

El Centro Regional Medical

Standard

07/07/1978

1063441293

Emanate Health Medical

1982629440

Emanate Health Medical

Emanate Health Queen of The

Pediatric Community

12/29/2003

Emanate Health Inter-Communi

General Community (over 14 without

pediatric license)

12/29/2003

1417901091

Enloe Medical Center

N T Enloe Mem Hosp

Limited

01/01/1982

1821002007

Fountain Valley Regional

Fountain Vly Reg Hospmed

Pediatric Community

10/14/2003

County

Address

Shasta

2175 Rosaline Avenue Redding CA 96001-2509

Santa Barbara 1400 E Church Street Santa Maria CA 93454-5906

Stanislaus

1441 Florida Avenue Modesto CA 95350-4418

Stanislaus

825 Delbon Avenue Turlock CA 95382-2016

Santa Clara

2500 Grant Road Mountain View CA 94040-4302

Imperial

1415 Ross Avenue El Centro CA 92243-4306

Los Angeles

1115 S Sunset Avenue West Covina CA 91790-3940

Los Angeles

210 W San Bernardino Covina CA 91723-1515

Butte

1531 Esplanade Chico CA 95926-3310

Orange

17100 Euclid Street Fountain Valley CA 92708-4004

Phone

(530) 225-6102 (805) 739-3000 (209) 578-1211 (209) 664-5100 (650) 940-7000 (619) 339-7100 (626) 962-4011 (626) 331-7331 (530) 332-7300 (714) 966-7200

11/5/22 6:18 PM

Page 5 of 20

NPI

1316027709

Legal Name

Fresno Community Hospital

Business Name

Clovis Comm Medical Ctr

1104906569

Fresno Community Hospital

Community Specialty Surgery

1730171265

Garfield Medical Center

Ahmc Garfield Med Ctr Lp

1831188275

Glendale Adventist Med

Glendale Adventist Med

1376595777

Good Samaritan Hosp, Lp

Good Samaritan Hosp, Lp

1528041811

Grossmont Hospital Corporati

Grossmont Hosp Corp

1538141627

Hanford Community Hospital

Adventist Medical Hanford

1942298153

Hayward Sisters Hospital

St Rose Hosp

1275578817

Hazel Hawkins Mem Hosp

Hazel Hawkins Mem Hosp

1740215219

John Muir Medical Center

John Muir Medical Center

Facility Type

Special

StartDt

EndDt

05/15/2014

Pediatric Community

08/23/2002

Pediatric Community

12/02/1997

Special

01/19/1994

Pediatric Community

01/01/1979

General Community (over 14 without

pediatric license)

11/15/1959

Limited

04/01/1969

Limited

03/01/1974

Limited

06/14/1978

Pediatric Community

11/01/1978

County

Address

Fresno

2755 Herndon Avenue Clovis CA 93611-6800

Fresno

2823 Fresno Street Fresno CA 93721

Los Angeles

525 N Garfield Avenue Monterey Park CA 91754-1205

Los Angeles

1509 Wilson Ter Glendale CA 91206-4007

Santa Clara

2425 Samaritan Drive San Jose CA 95124-3985

San Diego

5555 Grossmont Center Drive La Mesa CA 91942-3019

Kings

115 Mall Drive Hanford CA 93230-3513

Alameda

27200 Calaroga Avenue Hayward CA 94545-4383

San Benito

911 Sunset Drive Hollister CA 95023-5602

Contra Costa

1601 Ygnacio Valley Road Walnut Creek CA 94598-3122

Phone

(559) 324-4000 (559) 459-1672 (626) 943-4100 (818) 409-8000 (702) 855-1022 (619) 465-0711 (559) 582-9000 (510) 264-4000 (408) 637-5711 (925) 939-3000

11/5/22 6:18 PM

Page 6 of 20

NPI

1518012301

Legal Name

Kaiser Foundation

Business Name

Kaiser Found Hosp-Bellfl

1134299522

Kaiser Foundation Hosp

Kaiser Foundation Hosp

1295880912

Kaiser Foundation Hosp

Kaiser Woodland Hills

1306991211

Kaiser Foundation Hosp

Kaiser Foundation Hosp

1326119967

Kaiser Foundation Hosp

Kaiser Foundation Hosp

1376698043

Kaiser Foundation Hosp

Kaiser Foundation Hosp

1427123132

Kaiser Foundation Hosp

Kaiser Foundation Hosp

1477608271

Kaiser Foundation Hosp

Kaiser Fndtn Baldwin Prk

1528138088

Kaiser Foundation Hosp

Kaiser Foundation Hospital

1639244262

Kaiser Foundation Hosp

Kaiser Foundation Hosp

Facility Type

Pediatric Community

StartDt

EndDt

04/06/2009

Pediatric Community

03/01/1980

Special

04/06/2009

General Community (over 14 without

pediatric license)

03/23/2015

Tertiary

03/01/1972

Special

09/24/1992

Tertiary

04/06/2009

Special

01/29/2019

General Community (over 14 without

pediatric license)

05/01/2012

Pediatric Community

10/13/2006

County

Address

Los Angeles

9333 Imperial Highway Downey CA 90242-2812

San Francisco 2425 Geary Boulevard San Francisco CA 94115-3358

Los Angeles

5601 De Soto Avenue Woodland Hills CA 91367-6701

Riverside

10800 Magnolia Avenue Riverside CA 92505-3000

Santa Clara

700 Lawrence Expressway Santa Clara CA 95051-5173

Los Angeles

13652 Cantara Street Panorama City CA 91402-5423

Alameda

275 W Macarthur Boulevard Oakland CA 94611-5641

Los Angeles

1011 Baldwin Park Boulevard Baldwin Park CA 91706-5806

Sacramento

6600 Bruceville Road Sacramento CA 95823-4671

Contra Costa

1425 S Main Street Walnut Creek CA 94596-5318

Phone

(310) 461-3000 (415) 829-4000 (818) 719-2000 (714) 785-4600 (408) 244-5500 (000) 781-2361 (415) 653-6121 (626) 851-5099 (916) 688-2430 (925) 295-5888

11/5/22 6:18 PM

Page 7 of 20

NPI

1821143777

Legal Name

Kaiser Foundation Hosp

Business Name

Kaiser Foundation Hosp

1952476665

Kaiser Foundation Hospital

Kaiser Foundation Hosp

1366513509

Kaiser Foundation Hospital

Kaiser Foundation Hospital

1649605403

Kaiser Foundation Hospital

Kaiser Foundation Hospital

Facility Type

Tertiary

StartDt

EndDt

04/06/2009

General Community (over 14 without

pediatric license)

12/02/2019

General Community (over 14 without

pediatric license)

03/01/1979

General Community (over 14 without

pediatric license)

08/25/2014

1144375056

Kaiser Foundation Hospitals

Orange County Lakeview

Pediatric Community

07/22/2008

1013062769

Kaiser Foundation Hospitals

Kaiser Foundation Hospital Z

Pediatric Community

04/06/2009

1356496772

Kaiser Foundation Hospitals

Kaiser Foundation Hosp

Pediatric Community

04/01/1965

1073811378

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals

Tertiary

09/27/2011

1134274897

Kaiser Found Hosp Wla

Kaiser Found Hosp Wla

Pediatric Community

03/01/1980

1588663769

Kaweah Delta Health Care

Kaweah Health Medical Center

Standard

01/01/1994

County

Address

Los Angeles

4867 W Sunset Boulevard Los Angeles CA 90027-5969

Sacramento

2025 Morse Avenue Sacramento CA 95825-2115

Solano

975 Sereno Drive Vallejo CA 94589-2441

Alameda

2500 Merced Street San Leandro CA 94577-4201

Orange

441 N Lakeview Avenue Anaheim CA 92807-3028

San Diego

4647 Zion Avenue San Diego CA 92120-2507

San Bernardino 9961 Sierra Avenue Fontana CA 92335-6720

Placer

1600 Eureka Road Roseville CA 95661-3027

Los Angeles

6041 Cadillac Avenue Los Angeles CA 90034-1702

Tulare

400 W Mineral King Avenue Visalia CA 93291

11/5/22 6:18 PM

Phone

(213) 667-4811 (916) 486-5011 (707) 651-1000 (510) 454-1000 (714) 998-4400 (619) 528-6295x000 (714) 822-3371 (916) 784-5727 (323) 857-2201 (559) 624-2000

Page 8 of 20

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