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Providence Health System - Southern California

NPI 1821019514ActiveOrganization· Rehabilitation Unit· San Pedro, CA

Rehabilitation 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 W. Anderson, Assistant Secretary Enrollments. Enrolled in Medicare as part a provider - hospital.

Overview

NPI1821019514
StatusActive
Entity typeOrganization (subpart)
Parent organizationProvidence Health System - Southern California
NPI issuedJul 21, 2006
Last updated in NPPESMay 9, 2025
Certified by providerMay 9, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Rehabilitation Unit Primary273Y00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Hospital (CA)

Medicare sources and data years

Other Rehabilitation Unit providers in San Pedro

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