| Northridge Hospital Medical Center | |
|
18300 Roscoe Blvd Northridge CA 91325-4105 | |
| (818) 885-8500 | |
| (818) 885-5439 |
| Full Name | Northridge Hospital Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 18300 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Douglas Brown (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8188855321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northridge Hospital Medical Center 3215 Prospect Park Dr Rancho Cordova CA 95670-6017 Ph: (888) 488-7667 | Northridge Hospital Medical Center 18300 Roscoe Blvd Northridge CA 91325-4105 Ph: (818) 885-8500 |
| NPI Number | 1417089350 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Medicare PECOS PAC ID | 9032458013 |
|---|---|
| Medicare Enrollment ID | O20190322001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417089350 | NPI | - | NPPES |
| NHRC | Other | CA | UNIVERSAL |
| 2720268 | Other | CA | AETNA |
| 870692258 | Other | CA | IRS |
| HSC30116F | Medicaid | CA | |
| ZZT40116G | Medicaid | CA | |
| ZZZA1957Z | Other | CA | BLUE SHIELD |
| 050116B0000 | Other | CA | CMS SECTION 1011 |
| CGP00685 | Other | CA | DHS |
| HSM30116G | Medicaid | CA | |
| ZZT30116G | Medicaid | CA | |
| 870692258913250000 | Other | CA | WPS TRICARE |
| CGP010485 | Other | CA | DHS |
| HSC30116G | Medicaid | CA | |
| HSM30116F | Medicaid | CA | |
| ZZT30116F | Medicaid | CA | |
| ZZT40116F | Medicaid | CA |
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