Providence Health System-Southern California
NPI 1508972456 · Institutional Pharmacy · San Pedro, CA
Providence Health System-Southern California is a Institutional Pharmacy organization in San Pedro, CA (NPI 1508972456).
Provider details
- NPI number
- 1508972456
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Little Company of Mary Medical Center San Pedro Pharmacy
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2025-05-09
- Certified
- 2025-05-09
Frequently asked questions
- What is Providence Health System-Southern California's NPI number?
- Providence Health System-Southern California's National Provider Identifier (NPI) is 1508972456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health System-Southern California?
- Providence Health System-Southern California is classified in the NPPES registry as Institutional Pharmacy (Suppliers).
- Where is Providence Health System-Southern California located?
- Providence Health System-Southern California's practice location on file with NPPES is 1300 W 7th St, San Pedro, CA 90732-3505.
- What is Providence Health System-Southern California's phone number?
- The practice phone number listed in the NPPES registry for Providence Health System-Southern California is (310) 832-3311.
- Who is the authorized official for Providence Health System-Southern California?
- The authorized official listed on Providence Health System-Southern California's NPPES record is Donald Anderson, Assistant Secretary Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health System-Southern California's NPI active?
- Yes — Providence Health System-Southern California's NPI (1508972456) is active in the NPPES registry as of the last update on 2025-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.