Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Providence Health System - Southern California

Rehabilitation Hospital Unit in San Pedro, CA · enumerated 2006 · authorized official Donald Anderson, Assistant Secretary Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821019514

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Registry record

Entity type Organization (Type 2)

Legal business name Providence Health System - Southern California

Other name <Unavail>

Parent organization Providence Health System - Southern California

Practice address 1300 W 7th St, San Pedro, CA, 90732

Phone (310) 303-7496

Fax (310) 303-7575

Enumeration date Jul 21, 2006

Last updated in NPPES May 9, 2025

Taxonomy & classification

273Y00000X Rehabilitation Hospital Unit Hospital Units Primary

Authorized official

Name Donald Anderson

Title Assistant Secretary Enrollments

Phone (425) 358-9786

Other identifiers

Identifier	Type	State	Issuer
05T078	Other	CA	BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Providence Health System - Southern California?

Providence Health System - Southern California is registered in NPPES as a Rehabilitation Hospital Unit (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-09.