Providence Health System - Southern California
NPI 1154349371ActiveOrganization· Psychiatric Unit· San Pedro, CA
Psychiatric Unit in San Pedro, California, registered in NPPES in July 2006, part of Providence Health System - Southern California. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments. Enrolled in Medicare as part a provider - hospital.
Overview
| NPI | 1154349371 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Health System - Southern California |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | May 8, 2025 |
| Certified by provider | May 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatric Unit Primary | 273R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospital (CA) |
|---|
Other Psychiatric Unit providers in San Pedro
- 1346264801