OrganizationActive
Providence Health System - Southern California
NPI 1821019514 · Rehabilitation Hospital Unit · San Pedro, CA
Provider details
- NPI number
- 1821019514
- Entity type
- Organization
- Primary specialty
- Rehabilitation Hospital UnitHospital Units
- Parent organization
- Providence Health System - Southern California
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Hospital Units
Profile Score
Detailed profile(91/100 index)
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
1300 W 7th St
San Pedro, CA 90732-3505
Phone: (310) 303-7496
Fax: (310) 303-7575
Street-level locationGet directions
Mailing address
Po Box 31001-3017
Pasadena, CA 91110-3017
Other names (DBA / former)
- Doing business as
- Providence Little Company of Mary Medical Center San Pedro
- Doing business as
- Providence Little Company of Mary Medical Center San Pedro
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2025-05-09
- Certified
- 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.