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Export Provider Record NPI 1063412005
Gardena Hospital Lp
Organization Subpart: NO
Active
NPI Number1063412005
NPI TypeNPI-2 Organization
SpecialtyGeneral Acute Care Hospital
Provider Details
NPI1063412005
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-07-29
Last Updated2014-02-28
Authorized OfficialJames Macpherson
Owner
Phone: 3103560550
Mailing Address222 N Sepulveda Blvd, Suite 950
El Segundo, CA 90245-5648
United States
Phone: (310) 356-0550
📍 View Map
Primary Practice Address1145 W Redondo Beach Blvd
Gardena, CA 90247-3528
United States
Phone: (310) 512-6169
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCAHSC30468J
MEDICAIDCAHSP30468J
MEDICAIDCAHSP40468J
MEDICAIDCAPHB463690
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No314000000X – Skilled Nursing FacilityCA930000098
Yes282N00000X – General Acute Care HospitalCA930000098
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About NPI 1063412005

Gardena Hospital Lp is an organization registered in the CMS NPPES NPI Registry with NPI number 1063412005. The primary specialty listed is General Acute Care Hospital. The organization is located in Gardena, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063412005?

NPI 1063412005 belongs to Gardena Hospital Lp, a General Acute Care Hospital in Gardena, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063412005 active?

The current status of NPI 1063412005 in the NPPES registry is Active. The record was last updated on 2014-02-28.

What specialty is NPI 1063412005?

NPI 1063412005 is classified under the taxonomy General Acute Care Hospital. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063412005?

You can verify NPI 1063412005 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063412005?

The primary practice address on file for NPI 1063412005 is 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063412005 issued?

NPI 1063412005 was first issued (enumerated) on 2005-07-29. The NPPES record was last updated on 2014-02-28.

Practice Location Map

Gardena Hospital Lp is located at 1145 W Redondo Beach Blvd, Gardena, CA. Use the map below to find directions or verify the practice location.

📍 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Gardena Hospital Lp. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063412005. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Skilled Nursing Facility930000098CA
General Acute Care Hospital930000098CA
Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162