St. John'S Pleasant Valley Hospital

LBN: Dignity Health
St. John'S Pleasant Valley Hospital is an health care organization with primary practice located at 2309 Antonio Ave , Camarillo CA 93010-1414. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / General Acute Care Hospital is the primary health care specialty. Dignity Health can be contacted via phone (805) 389-5632, or through Maurice, Tim via phone (805) 988-2500.

Contact Information

Primary practice address
2309 Antonio Ave Camarillo CA 93010-1414
Phone: (805) 389-5632
Fax: (805) 383-7450
Website:
Map and Directions
Authorized official contact:
Name: Maurice, Tim
Phone: (805) 988-2500

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 050000048 California
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 050000048 California

Profile Details

NPI number 1194877332
LBN Legal business name Dignity Health
DBA Doing business as St. John'S Pleasant Valley Hospital
Authorized official Maurice, Tim
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 17th, 2007
Last updated Sep 13th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194877332 NPPES
California MEDICAID HSP30616I
California Other 51406
California MEDICAID HSC30616I
California MEDICAID HSP40616I
California Other ZZZA5606Z
California Other 870692236930100000
California MEDICAID LTC70024G
California Other 870692236
California Other 870692236930100002
California Other 870692236B
California MEDICAID LTC55223G

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