{"npi":"1477587632","type":"NPI-2","status":"active","name":{"display":"Providence Health System - Southern California","other":[],"organization_name":"PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA","authorised_official":"Donald Anderson"},"specialty":{"primary_taxonomy":"282N00000X","primary_taxonomy_description":"General Acute Care Hospital","slug":"general-acute-care-hospital","schema_org_specialty":null,"all":[{"code":"282N00000X","description":"General Acute Care Hospital","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"15031 RINALDI ST","city":"MISSION HILLS","state":"CA","postal_code":"91345","country_code":"US","phone":"8183658051","fax":"8184964565"},{"purpose":"MAILING","street_1":"PO BOX 31001-3017","city":"PASADENA","state":"CA","postal_code":"911103017","country_code":"US","phone":"3103037143","fax":"3103037575"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"ZZT30278G","state":"CA","issuer":null},{"type_code":"05","label":"Medicaid","value":"ZZT40278G","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"050278","state":"CA","issuer":"BLUE CROSS PROV#"},{"type_code":"01","label":"Other","value":"ZZZD1940Z","state":"CA","issuer":"BLUE SHIELD PROV#"},{"type_code":"05","label":"Medicaid","value":"HSC30278G","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070116000648","type_code":"00-09","type_desc":"PART A PROVIDER - HOSPITAL","state":"CA","pac_id":"1658370911"}]},"enumeration_date":"2006-07-11","last_updated":"2025-05-09","_meta":{"source":"NPPES","snapshot_date":"2025-05-09","doc_url":"https://findmynpi.com/api"}}