Providence Health System - Southern California
NPI 1689875601ActiveOrganization· Emergency Medicine· Mission Hills, CA
Emergency Medicine in Mission Hills, California, registered in NPPES in May 2007, part of Providence Health System - Southern California. The authorized official on file is Donald W. Anderson, Assistant Secretary Enrollments. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689875601 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Health System - Southern California |
| NPI issued | May 29, 2007 |
| Last updated in NPPES | May 9, 2025 |
| Certified by provider | May 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Emergency Medicine | 207P00000X | — | CA |
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 B Supplier - Clinic/Group Practice (CA) |
|---|
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