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California Children Services Approved Report

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1891938122 Ahmc Anaheim Reg Med Ctr Ahmc Anaheim Reg Med Ctr Special 09/15/1979 Orange 1111 W La Palma Avenue (714) 774-1450

Anaheim CA 92801-2804

General Community (over 14 without 1275720377 Ahmc San Gabriel Valley Medical pediatric license) 12/29/2003 438 W Las Tunas Drive (626) 289-5454

San Gabriel CA 91776-1216

General Community (over 14 without 1396764353 Alameda Health System Highland General Hospital pediatric license) 12/27/2005 Alameda 1411 E 31st Street (510) 437-4800

Oakland CA 94602-1018

1518996040 American Hospital Management Mad River Community Hospital Limited 09/01/1984 Humboldt 3800 Janes Road (951) 652-2811

Arcata CA 95521-4788

1366419517 Healthcare Pediatric Community 12/01/1982 Los Angeles 1600 W Avenue (661) 949-5000

J

Lancaster CA 93534-2814

1770587107 Asante Rogue Valley Medical Center Standard 05/12/1980 2825 E Barnett Road (541) 789-4728

Medford OR 97504-8332

1467538520 Bakersfield Memorial Bakersfield Memorial Hospita Pediatric Community 04/06/2009 Kern 420 34th Street (661) 327-4647

Bakersfield CA 93301-2237

1538197231 Banner Lassen Medical Center Banner Lassen Medical Ct Limited 12/01/2014 Lassen 1800 Spring Ridge Drive (530) 252-2000

Susanville CA 96130-6100

1003867565 Barton Healthcare System Barton Memorial Hospital Limited 01/01/1979 El Dorado 2170 S Avenue (530) 541-3420

S CA 96150-7026

9/25/21 6:18 PM Page 1 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1689732885 Pacific Med Calif Pacific Med Ctr Tertiary 01/01/1990 Clay Buchanan Street (415) 563-4321

San Francisco CA 94115

1952777245 Casa Colina Hospital And Casa Colina Hospital Special 04/01/2016 Los Angeles 255 E Bonita Avenue (909) 596-7733

Pomona CA 91767-1923

1639172372 Cedars-Sinai Medical Ctr Cedars Sinai Med Ctr Tertiary 01/01/1977 Los Angeles 8700 Beverly Boulevard (310) 855-5000

Los Angeles CA 90048-1804

1033247622 Delano Regional Med Cntr Pediatric Community 10/22/2001 Kern 1401 Garces Highway (661) 725-4800

Delano CA 93215-3690

1922033547 Cha Hollywood Medical Hollywood Presbyterian Med Pediatric Community 03/22/1999 Los Angeles 1300 N Vermont Avenue (323) 644-4452

Los Angeles CA 90027-6005

1699868398 Childrens Hosp At Childrens Hosp of Orange Pediatric Community 04/06/2009 Orange 27700 Med Center Road (714) 365-2180

5th Fl

Mission Viejo CA 92691-6426

1003961251 Childrens Hospital Medical Childrens Hospital And Resea Tertiary 11/01/1984 Alameda 747 52nd Street (510) 428-3000

Oakland CA 94609

1811080526 Childrens Hospital of Childrens Hospital of Orange Tertiary 12/01/1979 Orange 1201 W La Veta Avenue (714) 997-3000

Orange CA 92868-3874

1124073366 Childrens Hospital of La Childrens Hospital of La Tertiary 01/01/1955 Los Angeles 4650 W Sunset Boulevard (323) 660-2450

Los Angeles CA 90027-6062

1063441293 Citrus Valley Med Ctr Citrus Valley Med Ctr Pediatric Community 12/29/2003 Los Angeles 1115 S Sunset Avenue (626) 962-4011

West Covina CA 91790-3940

9/25/21 6:18 PM Page 2 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1114109337 City of Hope Helford City of Hope Helford Special 07/01/1979 Los Angeles 1500 Duarte Road (818) 359-8111

Duarte CA 91010-3012

1932197258 Community Hospital Community Hospital Limited 07/01/1978 Monterey 23625 Holman Highway (831) 624-5311

Monterey CA 93940-5902

1215903018 Community Memorial Health Comm Mem Hosp San Special 01/23/1998 Ventura 147 N Brent Street (805) 652-5011

Ventura CA 93003-2809

1275540171 County of Los Angeles Rancho National Rehabilitation Special 03/03/1980 Los Angeles 7601 Imperial Highway (562) 401-7022

Downey CA 90242-3456

1699979245 County of Monterey Pediatric Community 03/01/1996 Monterey 1441 Constitution Boulevard (831) 755-4111

Salinas CA 93906-3100

1821159195 County of Riverside Riverside University Health Pediatric Community 04/01/1975 Riverside 26520 Cactus Avenue (951) 486-4470

Moreno Valley CA 92555-3927

1790781169 County of San Bernardino Arrowhead Regional Medical Pediatric Community 04/14/2000 San Bernardino 400 N Pepper Avenue (909) 580-2634

Colton CA 92324-1801

1629167457 County of Ventura Ventura County Medical Cente Pediatric Community 04/01/1978 Ventura 300 Hillmont Avenue (805) 652-6000

Ventura CA 93003

1538163886 Dameron Hospital Pacific Heart And Vascular C Pediatric Community 01/01/1998 San Joaquin 525 W Acacia Street (209) 944-5550

Stockton CA 95203-2484

1104856095 Desert Regional Medical Desert Regional Medical Pediatric Community 04/03/2003 Riverside 1150 N Indian Canyon Drive (760) 323-6511

Palm Springs CA 92262-4872

9/25/21 6:18 PM Page 3 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1467560599 Dignity Community Care Methodist Hospital of Sacram Pediatric Community 01/01/2002 Sacramento 7500 Hospital Drive (916) 423-3000

Sacramento CA 95823-5403

1417089350 Dignity Community Care Northridge Hospital Medical Pediatric Community 12/05/1961 Los Angeles 18300 Roscoe Boulevard (818) 885-8500

Northridge CA 91325-4105

General Community (over 14 without 1073665360 St Johns Regional Medical Ce pediatric license) 05/01/1978 Ventura 1600 N Rose Avenue (415) 438-5500

Oxnard CA 93030-3722

1194840421 Dignity Health St Mary Medical Center Pediatric Community 10/17/2003 Los Angeles 1050 Linden Avenue (562) 491-9810

Long Beach CA 90813-3321

1427181007 Dignity Health Dominican Hospital Pediatric Community 11/01/1978 Santa Cruz 1555 Soquel Drive (831) 462-7700

Santa Cruz CA 95065-1705

1972541498 Dignity Health Mercy San Juan Medical Ctr Pediatric Community 02/23/2006 Sacramento 6501 Coyle Avenue (916) 537-5000

Carmichael CA 95608-0306

General Community (over 14 without 1518018191 Dignity Health Mercy Medical Center pediatric license) 03/02/2008 Merced 333 Mercy Avenue (415) 438-5500

Merced CA 95340-8319

General Community (over 14 without 1104981661 Dignity Health Mercy Hospital pediatric license) 03/28/2003 Kern 2215 Truxtun Avenue (661) 632-5000

Bakersfield CA 93301-3602

General Community (over 14 without 1689769911 Dignity Health St Bernardine Medical Center pediatric license) 06/01/1980 San Bernardino 2101 N Waterman Avenue (415) 438-5500

San Bernardino CA 92404-4836

1518085430 Dignity Health Mercy Med Ctr Mt Shasta Limited 01/01/1996 Siskiyou 914 Pine Street (530) 926-6111

Mount Shasta CA 96067-2143

9/25/21 6:18 PM Page 4 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1083732853 Dignity Health St Elizabeth Comm Hosp Limited 01/01/1980 Tehama 2550 Sister Mary Columba (530) 529-8000

Red Bluff CA 96080-4327

1477671535 Dignity Health Mercy Medical Center Redding Pediatric Community 01/01/2002 Shasta 2175 Rosaline Avenue (530) 225-6102

Redding CA 96001-2509

1760510937 Dignity Health Marian Regional Medical Cen Pediatric Community 09/30/2001 Santa Barbara 1400 E Church Street (805) 739-3000

Santa Maria CA 93454-5906

General Community (over 14 without 1184654923 Doctors Medical Center of Doctors Medical Center of pediatric license) 09/01/1993 Stanislaus 1441 Florida Avenue (209) 578-1211

Modesto CA 95350-4418

1396087672 Doctors Medical Center of Emanuel Medical Center Limited 08/01/2014 Stanislaus 825 Delbon Avenue (209) 664-5100

Turlock CA 95382-2016

1093712374 El Camino Hosp El Camino Hosp Standard 07/01/1997 Santa Clara 2500 Grant Road (650) 940-7000

Mountain View CA 94040-4302

1861409823 El Centro Regional Medical El Centro Regional Medical Standard 07/07/1978 Imperial 1415 Ross Avenue (619) 339-7100

El Centro CA 92243-4306

General Community (over 14 without 1982629440 Emanate Health Medical Emanate Health Inter-Communi pediatric license) 12/29/2003 Los Angeles 210 W San Bernardino (626) 331-7331

Covina CA 91723-1515

1417901091 Enloe Medical Center N T Enloe Mem Hosp Limited 01/01/1982 Butte 1531 Esplanade (530) 332-7300

Chico CA 95926-3310

1821002007 Fountain Valley Regional Fountain Vly Reg Hospmed Pediatric Community 10/14/2003 Orange 17100 Euclid Street (714) 966-7200

Fountain Valley CA 92708-4004

9/25/21 6:18 PM Page 5 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1316027709 Fresno Community Hospital Clovis Comm Medical Ctr Special 05/15/2014 Fresno 2755 Herndon Avenue (559) 324-4000

Clovis CA 93611-6800

1104906569 Fresno Community Hospital Community Specialty Pediatric Community 08/23/2002 Fresno 2823 Fresno Street (559) 459-1672

Fresno CA 93721-1324

1730171265 Garfield Medical Center Ahmc Garfield Med Ctr Lp Pediatric Community 12/02/1997 Los Angeles 525 N Garfield Avenue (626) 943-4100

Monterey Park CA 91754-1205

1831188275 Glendale Adventist Med Glendale Adventist Med Special 01/19/1994 Los Angeles 1509 Wilson Ter (818) 409-8000

Glendale CA 91206-4007

1508859323 Good Samaritan Hosp Good Samaritan Hosp Standard 01/01/1989 Los Angeles 1225 Wilshire Boulevard (213) 977-2121

Los Angeles CA 90017-1901

1376595777 Good Samaritan Hosp, Lp Good Samaritan Hosp, Lp Pediatric Community 01/01/1979 Santa Clara 2425 Samaritan Drive (702) 855-1022

San Jose CA 95124-3985

General Community (over 14 without 1528041811 Grossmont Hospital Corporati Grossmont Hosp Corp pediatric license) 11/15/1959 5555 Grossmont Center Drive (619) 465-0711

La Mesa CA 91942-3019

1538141627 Hanford Community Hospital Adventist Medical Hanford Limited 04/01/1969 Kings 115 Mall Drive (559) 582-9000

Hanford CA 93230-3513

1942298153 Hayward Sisters Hospital St Rose Hosp Limited 03/01/1974 Alameda 27200 Calaroga Avenue (510) 264-4000

Hayward CA 94545-4383

1275578817 Hazel Hawkins Mem Hosp Hazel Hawkins Mem Hosp Limited 06/14/1978 San Benito 911 Sunset Drive (408) 637-5711

Hollister CA 95023-5602

9/25/21 6:18 PM Page 6 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1225015985 Healthbridge Children's Healthbridge Children's Special 07/05/2001 Orange 393 S Tustin Street (714) 289-2400

Orange CA 92866-2501

1740215219 John Muir Medical Center John Muir Medical Center Pediatric Community 11/01/1978 Contra Costa 1601 Ygnacio Valley Road (925) 939-3000

Walnut Creek CA 94598-3122

1518012301 Kaiser Foundation Kaiser Found Hosp-Bellfl Pediatric Community 04/06/2009 Los Angeles 9333 Imperial Highway (310) 461-3000

Downey CA 90242-2812

1134299522 Kaiser Foundation Hosp Kaiser Foundation Hosp Pediatric Community 03/01/1980 San Francisco 2425 Geary Boulevard (415) 829-4000

San Francisco CA 94115-3358

1295880912 Kaiser Foundation Hosp Kaiser Woodland Hills Special 04/06/2009 Los Angeles 5601 De Soto Avenue (818) 719-2000

Woodland Hills CA 91367-6701

General Community (over 14 without 1306991211 Kaiser Foundation Hosp Kaiser Foundation Hosp pediatric license) 03/23/2015 Riverside 10800 Magnolia Avenue (714) 785-4600

Riverside CA 92505-3000

1326119967 Kaiser Foundation Hosp Kaiser Foundation Hosp Tertiary 03/01/1972 Santa Clara 700 Lawrence Expressway (408) 244-5500

Santa Clara CA 95051

1376698043 Kaiser Foundation Hosp Kaiser Foundation Hosp Special 09/24/1992 Los Angeles 13652 Cantara Street (000) 781-2361

Panorama City CA 91402-5423

1427123132 Kaiser Foundation Hosp Kaiser Foundation Hosp Tertiary 04/06/2009 Alameda 275 W Macarthur Boulevard (415) 653-6121

Oakland CA 94611-5641

1477608271 Kaiser Foundation Hosp Kaiser Fndtn Baldwin Prk Special 01/29/2019 Los Angeles 1011 Baldwin Park Boulevard (626) 851-5099

Baldwin Park CA 91706-5806

9/25/21 6:18 PM Page 7 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

General Community (over 14 without 1528138088 Kaiser Foundation Hosp Kaiser Foundation Hospital pediatric license) 05/01/2012 Sacramento 6600 Bruceville Road (916) 688-2430

Sacramento CA 95823-4671

1639244262 Kaiser Foundation Hosp Kaiser Foundation Hosp Pediatric Community 10/13/2006 Contra Costa 1425 S Main Street (925) 295-5888

Walnut Creek CA 94596-5318

1821143777 Kaiser Foundation Hosp Kaiser Foundation Hosp Tertiary 04/06/2009 Los Angeles 4867 W Sunset Boulevard (213) 667-4811

Los Angeles CA 90027-5969

General Community (over 14 without 1952476665 Kaiser Foundation Hospital Kaiser Foundation Hosp pediatric license) 12/02/2019 Sacramento 2025 Morse Avenue (916) 486-5011

Sacramento CA 95825-2115

General Community (over 14 without 1366513509 Kaiser Foundation Hospital Kaiser Foundation Hospital pediatric license) 03/01/1979 Solano 975 Sereno Drive (707) 651-1000

Vallejo CA 94589-2441

General Community (over 14 without 1649605403 Kaiser Foundation Hospital Kaiser Foundation Hospital pediatric license) 08/25/2014 Alameda 2500 Merced Street (510) 454-1000

San Leandro CA 94577-4201

1144375056 Kaiser Foundation Orange County Lakeview Pediatric Community 07/22/2008 Orange 441 N Lakeview Avenue (714) 998-4400

Anaheim CA 92807-3028

1013062769 Kaiser Foundation Hospitals Kaiser Foundation Hospital Z Pediatric Community 04/06/2009 San Diego 4647 Zion Avenue (619) 528-6295x000

San Diego CA 92120-2507

1356496772 Kaiser Foundation Hospitals Kaiser Foundation Hosp Pediatric Community 04/01/1965 San Bernardino 9961 Sierra Avenue (714) 822-3371

Fontana CA 92335-6720

1073811378 Kaiser Foundation Hospitals Kaiser Foundation Hospitals Tertiary 09/27/2011 Placer 1600 Eureka Road (916) 784-5727

Roseville CA 95661-3027

9/25/21 6:18 PM Page 8 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1134274897 Kaiser Found Hosp Wla Kaiser Found Hosp Wla Pediatric Community 03/01/1980 Los Angeles 6041 Cadillac Avenue (323) 857-2201

Los Angeles CA 90034-1702

1588663769 Kaweah Delta Health Care Kaweah Health Medical Center Standard 01/01/1994 Tulare 400 W Mineral King Avenue (209) 625-2211

Visalia CA 93291-6237

1376623538 Kern County Hospital Pediatric Community 07/01/2016 Kern 1700 Mt Vernon Avenue (661) 326-2000

Bakersfield CA 93306-4018

1417060237 Lacmartin Luther King Lacmartin Luther King Pediatric Community 02/03/2005 Los Angeles 12021 Wilmington Avenue

Los Angeles CA 90059-3019

1285647933 Lacusc Medical Center Lacusc Medical Center Tertiary 01/31/2002 Los Angeles 1200 N State Street

Los Angeles CA 90033-1029

1316938301 Lodi Memorial Hospital Lodi Memori Limited 01/01/1980 San Joaquin 975 S Fairmont Avenue (209) 369-4701

Lodi CA 95240-5179

1699782599 Loma Linda University Loma Linda University Tertiary 02/20/1968 San Bernardino 11234 Anderson Street (714) 796-7311

Loma Linda CA 92354-2804

1194711952 Lompoc Valley Medical Lompoc Valley Medical Limited 03/01/1986 Santa Barbara 1515 E Ocean Avenue (805) 737-3300

Lompoc CA 93436-6104

1962442012 Long Beach Memorial Memorial Hospital Med Long 05/01/1980 Los Angeles 2801 Atlantic Avenue (562) 933-2000

Long Beach CA 90806-1701

1497778401 Los Angeles County Harbor La County Harbor UCLA Tertiary 03/05/2004 Los Angeles 1000 W Carson Street (310) 222-2345

Torrance CA 90502-2004

9/25/21 6:18 PM Page 9 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1417970567 Los Angeles County Olive La County Olive View-UCLA Pediatric Community 09/01/1975 Los Angeles 14445 Olive View Drive (818) 901-3000

Sylmar CA 91342-1437

1033163019 Los Robles Hospital Los Robles Hospital Limited 04/01/1978 Ventura 215 W Janss Road (702) 855-1022

Thousand Oaks CA 91360-1899

1306890389 Los Robles Hospital Thousand Oaks Surgical Hosp Limited 01/01/1978 Ventura 401 Rolling Oaks Drive (805) 777-7750

Thousand Oaks CA 91361-1050

1467442749 Lucile Salter Packard Packard Childrens Hospital Tertiary 07/03/1989 Santa Clara 725 Welch Road (650) 497-8000

Palo Alto CA 94304-1601

1669673646 Madera Community Hospit Madera Community Hospit Limited 01/01/1985 Madera 1250 E Almond Avenue (209) 673-5101

Madera CA 93637-5696

1396725677 Marin General Hospital Marinhealth Medical Center Standard 09/01/1972 Marin 250 Bon Air Road (415) 925-7000

Greenbrae CA 94904-1702

1972503142 Marshall Medical Center Marshall Medical Center Limited 01/01/1979 El Dorado 1100 Marshall Way (530) 626-2700

Placerville CA 95667-6533

1538113725 Mendocino Coast Hosp Mendocino Coast Hosp Limited 02/01/1978 Mendocino 700 River Drive (707) 964-5381

Fort Bragg CA 95437-5403

1003133695 Mountain View Child Care Inc Totally Kids Rehabilitation Special 01/01/2015 San Bernardino 1720 Mountain View Avenue (909) 796-6915

Loma Linda CA 92354-1727

1821147786 Northbay Healthcare Group Northbay Medical Ctr Pediatric Community 08/01/1996 Solano 1200 B Gale Wilson Boulevard (707) 429-3600

Fairfield CA 94533-3552

9/25/21 6:18 PM Page 10 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1922198712 Northern Inyo Healthcare Northern Inyo Hospital Limited 08/23/1984 Inyo 150 Pioneer Lane (760) 873-5811

Bishop CA 93514-2599

1194824573 North Sonoma Hospital Healdsburg Dist Hosp Limited 05/08/1978 Sonoma 1375 University Avenue (707) 431-6500

Healdsburg CA 95448-3382

1982697678 Orange County Global Medical Orange County Global Medical Special 04/28/2006 Orange 1001 N Tustin Avenue (714) 953-3610

Santa Ana CA 92705-3502

1194876821 Oroville Hospital Limited 01/01/1979 Butte 2767 Olive Highway (916) 533-8500

Oroville CA 95966-6118

1457321317 Palomar Health Palomar Health Dntwn Campus Pediatric Community 12/07/1983 San Diego 555 E Valley Parkway (760) 739-3000

Escondido CA 92025-3048

1457321317 Palomar Health Palomar Health Downtown Camp Pediatric Community 12/07/1983 San Diego 2185 Citracado Parkway (760) 739-3000

Escondido CA 92025-4159

1407828429 Pasadena Hosp Assn, Ltd Huntington Memorial Hosp Pediatric Community 12/04/2003 Los Angeles 100 W California Boulevard (626) 397-5000

Pasadena CA 91105-3010

1043215379 Pih Health Hospital Whittier Pih Health Hospital Whittier Standard 08/01/1974 Los Angeles 12401 Washington Boulevard (562) 698-0811

Whittier CA 90602-1006

1073519443 Pioneers Memorial Health Pioneers Memorial Health Standard 10/04/1985 Imperial 207 W Legion Road (760) 351-3333

Brawley CA 92227-7780

1407813660 Hospital Pomona Valley Comm Hospi Pediatric Community 11/08/1974 Los Angeles 1798 N Garey Avenue (909) 865-9500

Pomona CA 91767-2918

9/25/21 6:18 PM Page 11 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1114547114 Prime Healthcare Services St Francis Medical Center Pediatric Community 08/13/2020 Los Angeles 3630 E Imperial Highway (310) 900-8900

Lynwood CA 90262-2609

1750491247 Prime Healthcare Svs II Sherman Oaks Hosp Special 03/06/1992 Los Angeles 4929 Van Nuys Boulevard (818) 981-7111

Sherman Oaks CA 91403-1702

1336328244 Prime Hlthcare Centinela LLC Centinela Hosp Med Ctr Standard 01/01/1980 Los Angeles 555 E Hardy Street (310) 673-4660

Inglewood CA 90301-4011

1336173269 Providence Health System Providence Saint Joseph Med Special 04/08/1998 Los Angeles 501 S Buena Vista

Burbank CA 91505-4866

1477587632 Providence Health System Providence Holy Cross Special 01/08/2014 12/31/2055 Los Angeles 15031 Rinaldi Street (818) 365-8057

Mission Hills CA 91345-1207

1902844988 Providence Health System Providence Little Co of Mary Pediatric Community 11/01/2005 Los Angeles 4101 Torrance Boulevard (310) 540-7676

Torrance CA 90503-4607

1124026273 Providence Saint Johns Providence Saint Johns Standard 01/01/1985 Los Angeles 2121 Santa Monica Boulevard (310) 829-5511

Santa Monica CA 90404-2303

1710065933 Radys Childrens Hospital Rady Children's Hosp Tertiary 01/01/1954 San Diego 3020 Childrens Way (858) 576-1700

San Diego CA 92123-4223

1801803705 Rancho Los Amigos National Rehab Ctr Special 01/01/1980 Los Angeles 7601 E Imperial Highway (562) 401-7022

Downey CA 90242-3456

1316081482 Redlands Community Hosp Redlands Community Hosp Standard 08/01/1983 San Bernardino 350 Terracina Boulevard (714) 793-3101

Redlands CA 92373-4897

9/25/21 6:18 PM Page 12 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

General Community (over 14 without 1184722779 Regents of The Univ Ca UCSD Medical Center pediatric license) 05/05/1982 San Diego 200 W Arbor Drive (619) 543-6060

San Diego CA 92103-1911

1902803315 Regents of The University of UCLA Med Tertiary 08/01/1962 Los Angeles 757 Westwood Plaza (310) 825-8021

Los Angeles CA 90095-8358

1427055839 Regents University of Santa Monica-UCLA Medical Pediatric Community 03/21/2017 Los Angeles 1250 16th Street (310) 319-4000

Santa Monica CA 90404-1249

1124098421 Renown Regional Med Ctr Renown Regional Med Ctr Standard 01/01/1979 1155 Mill Street (775) 982-4100

Reno NV 89502-1474

1447253125 Ridgecrest Regional Hospital Ridgecrest Regional Hospital Limited 11/01/1976 Kern 1081 N China Lake Boulevard (760) 446-3551

Ridgecrest CA 93555-3130

1336186394 Riverside Healthcare Sys Riverside Community Hosp Pediatric Community 05/17/2004 Riverside 4445 Magnolia Avenue (702) 855-1022

Riverside CA 92501-4135

1205845567 Saint Agnes Medical Center Saint Agnes Medical Center Special 07/22/1981 Fresno 1303 E Herndon Avenue (559) 450-3000

Fresno CA 93720-3309

1750384079 Memorial Salinas Valley Memorial Pediatric Community 09/01/1977 Monterey 450 E Romie Lane (408) 757-4333

Salinas CA 93901-4098

1780681189 San Antonio Regional San Antonio Community Ho Standard 01/01/1994 San Bernardino 999 San Bernardino Road (714) 985-2811

Upland CA 91786-4922

1235290818 San Bernardino Community Comm Hosp of San Bernardino Standard 08/11/1988 San Bernardino 1805 Medical Center Drive (909) 806-1200

San Bernardino CA 92411-1217

9/25/21 6:18 PM Page 13 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1649213000 San Francisco Gen Hosp San Francisco Gen Hosp Standard 05/01/1978 San Francisco 1001 Potrero Avenue (415) 821-8200

San Francisco CA 94110-3518

General Community (over 14 without 1538157508 San Joaquin Community Adventist Health Bakersfield pediatric license) 04/06/2009 Kern 2615 Chester Avenue (661) 395-3000

Bakersfield CA 93301-2006

1275605180 San Joaquin General Hosp San Joaquin General Pediatric Community 08/07/1977 San Joaquin 500 W Hospital Road (209) 468-6937

French Camp CA 95231

1821041765 San Jose Healthcare Sys Regional Med Ct San Jose Pediatric Community 01/01/1979 Santa Clara 225 N Jackson Avenue (702) 855-1022

San Jose CA 95116-1603

1477554152 Santa Barbara Cottage Santa Barbara Cottage Ho Pediatric Community 12/29/2003 Santa Barbara 400 W Pueblo (805) 682-7111

Santa Barbara CA 93105-4353

1063406551 Santa Clara Med Ctr Santa Clara Med Ctr Tertiary 02/01/1977 Santa Clara 751 S Bascom Avenue (408) 885-7200

San Jose CA 95128-2604

1952301863 Santa Ynez Valley Santa Ynez Vly Cott Hosp Limited 03/01/1983 Santa Barbara 2050 Viborg Road (805) 682-7111

Solvang CA 93463-2220

1659359446 Scripps Health Pediatric Community 09/30/1993 San Diego 4077 5th Avenue (858) 927-5164

San Diego CA 92103-2105

1841277704 Scripps Health Scripps Memorial Hospital Special 03/03/1980 San Diego 9888 Genesee Avenue (858) 457-4123

La Jolla CA 92037-1205

1659359446 Scripps Health Scripps Mercy Hospital Chula Special 01/08/1992 San Diego 435 H Street (619) 691-7000

Chula Vista CA 91910-4307

9/25/21 6:18 PM Page 14 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1235172057 Sequoia Health Services Sequoia Hospital Standard 09/01/1977 San Mateo 170 Alameda (415) 367-5561

De Las Pulgas

Redwood City CA 94062-2751

1396728630 Sharp Chula Vista Med Ct Sharp Chula Vista Med Ct Standard 11/01/1978 San Diego 751 Medical Center (619) 502-5800x001

Ct

Chula Vista CA 91911-6617

General Community (over 14 without 1407839921 Sharp Memorial Hosp Sharp Memorial Hosp pediatric license) 09/01/1982 San Diego 7901 Frost Street (714) 277-6121

San Diego CA 92123-2701

General Community (over 14 without 1407839921 Sharp Memorial Hosp Sharp Mary Birch Hosp pediatric license) 09/10/1998 San Diego 3003 Health Center Drive (619) 541-4161

San Diego CA 92123-2700

1508908591 Shriners Hospitals Shriners Hosp For Chldrn Special 01/01/2009 Los Angeles 3160 Geneva Street (213) 388-3151

Los Angeles CA 90020-1117

1962530451 Shriners Hospitals For Shriners Hospitals For Child Special 04/18/2011 Sacramento 2425 Stockton Boulevard (916) 453-2002

Sacramento CA 95817-2215

1659361392 Memorial Sierra Nevada Mem Hosp Limited 01/01/1998 Nevada 155 Glasson Way (916) 273-7221

PO Box 1029

Grass Valley CA 95945-5723

1073736443 Sierra View Local Health Sierra View Medical Center Limited 03/31/1982 Tulare 465 W Putnam Avenue (559) 784-1110

Porterville CA 93257-3320

1639101116 Sierra Vista Hospital Inc Sierra Vista Regional Pediatric Community 07/29/1975 San Luis Obispo 1010 Murray Avenue (805) 546-7600

San Luis Obispo CA 93405-1806

9/25/21 6:18 PM Page 15 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1063495190 Hospital Simi Valley Hosp Hlth Pediatric Community 11/01/1984 Ventura 2975 Sycamore Drive (805) 955-6000

PO Box 819

Simi Valley CA 93065-1201

1093892275 Siskiyou Hospital, Inc Fairchild Medical Center Limited 01/01/1996 Siskiyou 444 Bruce Street (530) 841-6316

Yreka CA 96097-3450

1659340370 Sky Lakes Medical Center Sky Lakes Medical Center Limited 01/01/1995 2865 Daggett Avenue (541) 274-6221

Klamath Falls OR 97601-1106

1780673376 Sonora Community Hospital Adventist Health Sonora Limited 01/01/1970 Tuolumne 1000 Greenley Road (209) 536-5000

Sonora CA 95370-5200

1962444059 Southern Mono Healthcare Mammoth Hospital Limited 08/05/1997 Mono 85 Sierra Park Road (760) 934-3311

Mammoth Lakes CA 93546-2073

1699965012 Southern Monterey County George L Mee Mem Hosp Limited 09/01/1978 Monterey 300 Canal Street (831) 385-6000

King City CA 93930-3431

1871543215 Stanford Hospital Clinics Stanford Hospital Clinics Long 08/11/1974 Santa Clara 300 Pasteur Drive (650) 498-7200

Stanford CA 94305-2200

1316061997 St Francis Mem Hosp St Francis Mem Hosp Special 07/01/1972 San Francisco 900 Hyde Street (415) 353-6100

San Francisco CA 94109-4899

General Community (over 14 without 1912982216 St Joseph Hosp of Orange St Joseph Hosp pediatric license) 12/01/1986 Orange 1100 W Stewart Drive (714) 633-9111

Orange CA 92868-3891

1891904942 St Jude Hospital St Jude Medical Ctr Standard 08/01/1982 Orange 101 E Valencia Mesa Drive (714) 871-3280

Fullerton CA 92835-3809

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NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1669456299 St Mary Medical Center Providence St Mary Medical Special 11/01/2015 San Bernardino 18300 Us Highway (760) 242-2311

PO Box 1225 18

Apple Valley CA 92307-2206

1265421887 St Marys Hospital St Marys Hospital Standard 01/01/1979 235 W 6th Street

Reno NV 89503-4548

1265590442 Sutter Bay Hospitals California Pacific Medical C Special 08/30/2004 San Francisco 601 Duboce Avenue (415) 600-6000

San Francisco CA 94117-3389

1881712933 Sutter Bay Hospitals Calif Pacific Medical C Tertiary 12/03/1997 San Francisco 3555 Cesar Chavez Street (415) 647-8600

San Francisco CA 94110-4403

General Community (over 14 without 1740413798 Sutter Bay Hospitals Sutter Santa Rosa Regional pediatric license) 01/01/1976 Sonoma 30 Mark W Springs Road (707) 576-4000

Santa Rosa CA 95403-1436

1043670334 Sutter Bay Hospitals Mills-Peninsula Medical Cent Pediatric Community 10/04/1977 San Mateo 1501 Trousdale Drive (650) 696-5400

Burlingame CA 94010-4506

1639523004 Sutter Bay Hospitals Alta Bates Summit Medical Ce Special 02/01/1977 Alameda 2450 Ashby Avenue (510) 204-4444

Berkeley CA 94705-2067

1811946734 Sutter Health Hospitals Sutter Medical Center Sacram Tertiary 01/01/1978 Sacramento 2825 Capitol Avenue (916) 887-0000

Sacramento CA 95816-5616

General Community (over 14 without 1700855756 Sutter Medical Center Sutter Med Ct Santa Rosa pediatric license) 08/23/2010 Sonoma 3325 Chanate Road (707) 576-4200

Santa Rosa CA 95404-1707

1831177203 Sutter Solano Medical Sutter Solano Medical Limited 09/01/1978 Solano 300 Hospital Drive (707) 554-4444

Vallejo CA 94589-2594

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NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

General Community (over 14 without 1356390264 Sutter Valley Hospitals Sutter Roseville Medical Cen pediatric license) 02/01/2016 Placer 1 Medical Plaza Drive (916) 781-1000

Roseville CA 95661-3037

1447494323 Sutter Valley Hospitals Sutter Amador Hospital Limited 07/01/1986 Amador 200 Mission Boulevard (209) 223-7500

Jackson CA 95642-2564

1194774299 Sutter Valley Hospitals Sutter Auburn Faith Hosp Limited 01/01/1979 Placer 11815 Education Street (530) 888-4500

Auburn CA 95602-2410

1699129601 Sutter Valley Hospitals Memorial Medical Center Tertiary 05/01/2017 Stanislaus 1700 Coffee Road (209) 524-4500

Modesto CA 95355-2803

1902964109 Sutter West Bay Hospitals Calif Pacific Med Ctr Tertiary 01/01/1985 San Francisco 1101 Van Ness Avenue (415) 600-1400

San Francisco CA 94109-6919

1538265780 Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979 Nevada 10121 Pine Avenue (530) 857-6011

Truckee CA 96161-4835

1821250762 Tarzana Medical Center LLC Providence Cedars-Sinai Pediatric Community 11/17/1998 Los Angeles 18321 Clark Street (818) 881-0800

Tarzana CA 91356-3501

1720088354 The Fremont-Rideout Health Adventist Health And Rideout Limited 01/01/1988 Yuba 726 4th Street (916) 749-4300

Marysville CA 95901-5656

1467459776 Torrance Memorial Med Ct Torrance Memorial Med Ct Pediatric Community 11/01/1986 Los Angeles 3330 Lomita Boulevard (310) 325-9110

Torrance CA 90509-9977

General Community (over 14 without 1801861190 Tri City Hospital Tri-City Medical Center pediatric license) 01/01/1984 San Diego 4002 Vista Way (760) 940-3100

Oceanside CA 92056-4506

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NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1396778197 Twin Cities Community Twin Cities Community Limited 06/09/1986 San Luis Obispo 1100 Las Tablas Road (805) 434-3500

Templeton CA 93465-9704

1710918545 U C Davis Medical Center U C Davis Medical Center Tertiary 08/04/1977 Sacramento 2315 Stockton Boulevard (916) 734-2011

Sacramento CA 95817-2201

1457450116 UCSF Medical Center Regents of Univ of Ca Tertiary 01/01/1981 San Francisco 505 Parnassus Avenue (415) 476-1000

San Francisco CA 94143

1235120676 Ukiah Adventist Hospital Adventist Health Ukiah Valle Limited 07/01/1997 Mendocino 275 Hospital Drive (707) 462-3111

Ukiah CA 95482-4531

General Community (over 14 without 1689608150 University of California University of California Irv pediatric license) 06/01/1981 Orange 101 The City Drive (714) 456-7890

S

Orange CA 92868-3201

1275694184 Valley Childrens Hospital Valley Childrens Hospital Tertiary 03/06/1978 Madera 9300 Valley Childrens Place (559) 353-3000

Madera CA 93636

1578529285 Valley Presbyterian Hosp Valley Presbyterian Hosp Pediatric Community 10/01/1971 Los Angeles 15107 Vanowen Street (818) 782-6600

Van Nuys CA 91405-4597

1497748081 Vibra Hospital of San Bernar Ballard Rehabilitation Hosp Special 01/27/2007 San Bernardino 1760 W 16th Street (909) 473-1275

San Bernardino CA 92411-1160

1780614685 Washington Township Hlthcre Washington Hospital Standard 09/01/1977 Alameda 2000 Mowry Avenue (415) 797-1111

Fremont CA 94538-1746

1710958228 Watsonville Hosp Corp Watsonville Comm Hosp Special 10/01/1978 Santa Cruz 75 Neilson Street (831) 763-6040

Watsonville CA 95076-2468

9/25/21 6:18 PM Page 19 of 20

NPI Legal Name Business Name Facility Type StartDt EndDt County Address Phone

1023065729 West Hills Hospital West Hills Reg Med Ctr Special 09/01/2016 Los Angeles 7300 Medical Center Drive (702) 855-1022

P.O. Box 7937

West Hills CA 91307-1902

1215927470 White Memorial Med Ctr White Memorial Med Ctr Pediatric Community 09/01/1980 Los Angeles 1720 E Cesar E Chavez Av (323) 268-5000

Los Angeles CA 90033-2481

1356339543 Willits Hospital Inc Frank R Howard Memorial Hosp Limited 02/25/2011 Mendocino 1 Marcela Drive (707) 459-6801

Willits CA 95490-5769

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