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California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

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Page 1: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

California Children ServicesApproved Hospital Report

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Ahmc San Gabriel Valley San Gabriel Valley MedicalGeneral Community (over 14 withoutpediatric license) 12/29/2003 Los Angeles 438 W Las Tunas Drive

San Gabriel CA 91776-1216

1275720377 (626) 289-5454

Alameda Health System Highland General HospitalGeneral Community (over 14 withoutpediatric license) 12/27/2005 Alameda 1411 E 31st Street

Oakland CA 94602-1018

1396764353 (510) 437-4800

Dignity Health St Johns Regional Medical CeGeneral Community (over 14 withoutpediatric license) 05/01/1978 Ventura 1600 N Rose Avenue

Oxnard CA 93030-3722

1073665360 (415) 438-5500

Dignity Health Mercy Medical CenterGeneral Community (over 14 withoutpediatric license) 03/02/2008 Merced 333 Mercy Avenue

Merced CA 95340-8319

1518018191 (415) 438-5500

Dignity Health Mercy HospitalGeneral Community (over 14 withoutpediatric license) 03/28/2003 Kern 2215 Truxtun Avenue

Bakersfield CA 93301-3602

1104981661 (661) 632-5000

Dignity Health St Bernardine Medical CenterGeneral Community (over 14 withoutpediatric license) 06/01/1980 San Bernardino 2101 N Waterman Avenue

San Bernardino CA 92404-4836

1689769911 (415) 438-5500

Doctors Medical Center of Doctors Medical Center ofGeneral Community (over 14 withoutpediatric license) 09/01/1993 Stanislaus 1441 Florida Avenue

Modesto CA 95350-4418

1184654923 (209) 578-1211

Grossmont Hosp Grossmont Hosp CorpGeneral Community (over 14 withoutpediatric license) 11/15/1959 San Diego 5555 Grossmont Center Drive

La Mesa CA 91942-3019

1528041811 (619) 465-0711

Kaiser Foundation Hosp Kaiser Foundation HospGeneral Community (over 14 withoutpediatric license) 03/23/2015 Riverside 10800 Magnolia Avenue

Riverside CA 92505-3000

1306991211 (714) 785-4600

Page 1 of 206/2/18 6:30 PM

Page 2: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Kaiser Foundation Hosp Kaiser Foundation HospitalGeneral Community (over 14 withoutpediatric license) 05/01/2012 Sacramento 6600 Bruceville Road

Sacramento CA 95823-4671

1528138088 (916) 688-2430

Kaiser Foundation Hospital Kaiser Foundation Hosp SacGeneral Community (over 14 withoutpediatric license) 04/06/2009 Sacramento 2025 Morse Avenue

Sacramento CA 95825-2115

1952476665 (916) 486-5011

Kaiser Foundation Hospital Kaiser Foundation HospitalGeneral Community (over 14 withoutpediatric license) 08/25/2014 Alameda 2500 Merced Street

San Leandro CA 94577-4201

1649605403 (510) 454-1000

San Joaquin Community Adventist Health BakersfieldGeneral Community (over 14 withoutpediatric license) 04/06/2009 Kern 2615 Chester Avenue

Bakersfield CA 93301-2006

1538157508 (661) 395-3000

Sharp Memorial Hosp Sharp Memorial HospGeneral Community (over 14 withoutpediatric license) 09/01/1982 San Diego 7901 Frost Street

San Diego CA 92123-2701

1407839921 (714) 277-6121

Sharp Memorial Hosp Sharp Mary Birch HospGeneral Community (over 14 withoutpediatric license) 09/10/1998 San Diego 3003 Health Center Drive

San Diego CA 92123-2700

1407839921 (619) 541-4161

St Joseph Hosp of Orange St Joseph HospGeneral Community (over 14 withoutpediatric license) 12/01/1986 Orange 1100 W Stewart Drive

Orange CA 92868-3891

1912982216 (714) 633-9111

Sutter Bay Hospitals Sutter Santa Rosa RegionalGeneral Community (over 14 withoutpediatric license) 01/01/1976 Sonoma 30 Mark W Springs Road

Santa Rosa CA 95403-1436

1740413798 (707) 576-4000

Sutter Medical Center Sutter Med Ct Santa RosaGeneral Community (over 14 withoutpediatric license) 08/23/2010 Sonoma 3325 Chanate Road

Santa Rosa CA 95404-1707

1700855756 (707) 576-4200

Sutter Valley Hospitals Sutter Roseville Medical CenGeneral Community (over 14 withoutpediatric license) 02/01/2016 Placer 1 Medical Plaza Drive

Roseville CA 95661-3037

1356390264 (916) 781-1000

Page 2 of 206/2/18 6:30 PM

Page 3: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Tri City Hospital Tri-City Medical CenterGeneral Community (over 14 withoutpediatric license) 01/01/1984 San Diego 4002 Vista Way

Oceanside CA 92056-4506

1801861190 (760) 940-3100

University of California University of California IrvGeneral Community (over 14 withoutpediatric license) 06/01/1981 Orange 101 The City Drive

S

Orange CA 92868-3201

1689608150 (714) 456-6011

American Hospital Management Mad River Community Hospital Limited 09/01/1984 Humboldt 3800 Janes Road

Arcata CA 95521-4788

1518996040 (951) 652-2811

Banner Lassen Medical Center Banner Lassen Medical Ct Limited 12/01/2014 Lassen 1800 Spring Ridge Drive

Susanville CA 96130-6100

1538197231 (530) 252-2000

Barton Healthcare System Barton Memorial Hospital Limited 01/01/1979 El Dorado 2170 S Avenue

S Lake Tahoe CA 96150-7026

1003867565 (530) 541-3420

Central California Delano Regional Med Cntr Limited 10/22/2001 Kern 1401 Garces Highway

Delano CA 93215-3690

1033247622 (661) 725-4800

Community Hospital Community Hospital Limited 07/01/1978 Monterey 23625 Holman Highway

Monterey CA 93940-5902

1932197258 (831) 624-5311

Dignity Health Mercy Med Ctr Mt Shasta Limited 01/01/1996 Siskiyou 914 Pine Street

Mount Shasta CA 96067-2143

1518085430 (530) 926-6111

Dignity Health St Elizabeth Comm Hosp Limited 01/01/1980 Tehama 2550 Sister Mary Columba

Red Bluff CA 96080-4327

1083732853 (415) 438-5500

Doctors Medical Center of Emanuel Medical Center Limited 08/01/2014 Stanislaus 825 Delbon Avenue

Turlock CA 95382-2016

1396087672 (209) 664-5100

Page 3 of 206/2/18 6:30 PM

Page 4: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Enloe Medical Center N T Enloe Mem Hosp Limited 01/01/1982 Butte 1531 Esplanade

Chico CA 95926-3310

1417901091 (530) 332-7300

Feather River Hospital Adventist Health Feather Riv Limited 01/01/1996 Butte 5974 Pentz Road

Paradise CA 95969-5593

1518940667 (530) 877-9361

Hanford Community Hospital Adventist Medical Center Limited 04/01/1969 Kings 115 Mall Drive

Hanford CA 93230-5786

1538141627 (559) 537-0050

Hayward Sisters Hospital St Rose Hosp Limited 03/01/1974 Alameda 27200 Calaroga Avenue

Hayward CA 94545-4383

1942298153 (510) 264-4000

Hazel Hawkins Mem Hosp Hazel Hawkins Mem Hosp Limited 06/14/1978 San Benito 911 Sunset Drive

Hollister CA 95023-5602

1275578817 (408) 637-5711

Lodi Memorial Hospital Adventist Health Lodi Memori Limited 01/01/1980 San Joaquin 975 S Fairmont Avenue

Lodi CA 95240-5179

1316938301 (209) 369-4701

Lompoc Valley Medical Lompoc Valley Medical Limited 03/01/1986 Santa Barbara 1515 E Ocean Avenue

Lompoc CA 93436-6104

1194711952 (805) 737-3300

Los Robles Hospital Los Robles Hospital Limited 04/01/1978 Ventura 215 W Janss Road

Thousand Oaks CA 91360-1899

1033163019 (702) 855-1022

Los Robles Hospital Thousand Oaks Surgical Hosp Limited 01/01/1978 Ventura 401 Rolling Oaks Drive

Thousand Oaks CA 91361-1050

1306890389 (805) 777-7750

Madera Community Hospit Madera Community Hospit Limited 01/01/1985 Madera 1250 E Almond Avenue

Madera CA 93637-5696

1669673646 (209) 673-5101

Marshall Medical Center Marshall Medical Center Limited 01/01/1979 El Dorado 1100 Marshall Way

Placerville CA 95667-6533

1972503142 (530) 626-2700

Page 4 of 206/2/18 6:30 PM

Page 5: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Mendocino Coast Hosp Mendocino Coast Hosp Limited 02/01/1978 Mendocino 700 River Drive

Fort Bragg CA 95437-5403

1538113725 (707) 964-5381

North Inyo County Local Northern Inyo Hospital Limited 08/23/1984 Inyo 150 Pioneer Lane

Bishop CA 93514-2599

1922198712 (760) 873-5811

North Sonoma Hospital Healdsburg Dist Hosp Limited 05/08/1978 Sonoma 1375 University Avenue

Healdsburg CA 95448-3382

1194824573 (707) 431-6500

Oroville Hospital Oroville Hospital Limited 01/01/1979 Butte 2767 Olive Highway

Oroville CA 95966-6118

1194876821 (916) 533-8500

Redwood Memorial Hosp Redwood Mem Hosp Limited 09/01/1979 Humboldt 3300 Renner Drive

Fortuna CA 95540-3198

1043292303 (707) 725-3361

Rideout Mem Hospital Rideout Mem Hospital Limited 01/01/1988 Yuba 726 4th Street

Marysville CA 95901-5656

1720088354 (916) 749-4300

Ridgecrest Regional Hospital Ridgecrest Regional Hospital Limited 11/01/1976 Kern 1081 N China Lake Boulevard

Ridgecrest CA 93555-3130

1447253125 (760) 446-3551

Santa Ynez Valley Santa Ynez Vly Cott Hosp Limited 03/01/1983 Santa Barbara 2050 Viborg Road

Solvang CA 93463-2220

1952301863 (805) 682-7111

Sierra Nevada Memorial Sierra Nevada Mem Hosp Limited 01/01/1998 Nevada 155 Glasson Way

PO Box 1029

Grass Valley CA 95945-5723

1659361392 (916) 273-7221

Sierra View Local Health Sierra View Medical Center Limited 03/31/1982 Tulare 465 W Putnam Avenue

Porterville CA 93257-3320

1073736443 (559) 784-1110

Page 5 of 206/2/18 6:30 PM

Page 6: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Siskiyou Hospital, Inc Fairchild Medical Center Limited 01/01/1996 Siskiyou 444 Bruce Street

Yreka CA 96097-3450

1093892275 (530) 841-6316

Sky Lakes Medical Center Sky Lakes Medical Center Limited 01/01/1995 2865 Daggett Avenue

Klamath Falls OR 97601-1106

1659340370 (541) 274-6221

Sonora Community Hospital Adventist Health Sonora Limited 01/01/1970 Tuolumne 1000 Greenley Road

Sonora CA 95370-5200

1780673376 (209) 536-5000

Southern Mono Healthcare Mammoth Hospital Limited 08/05/1997 Mono 85 Sierra Park Road

Mammoth Lakes CA 93546-2073

1962444059 (760) 934-3311

Southern Monterey County George L Mee Mem Hosp Limited 09/01/1978 Monterey 300 Canal Street

King City CA 93930-3431

1699965012 (831) 385-6000

St Joseph Hospital St Joseph Hospital Limited 09/01/1977 Humboldt 2700 Dolbeer Street

Eureka CA 95501-4799

1609858950 (707) 445-8121

Sutter Solano Medical Sutter Solano Medical Limited 09/01/1978 Solano 300 Hospital Drive

Vallejo CA 94589-2594

1831177203 (707) 554-4444

Sutter Valley Hospitals Sutter Amador Hospital Limited 07/01/1986 Amador 200 Mission Boulevard

Jackson CA 95642-2564

1447494323 (209) 223-7454

Sutter Valley Hospitals Sutter Auburn Faith Hosp Limited 01/01/1979 Placer 11815 Education Street

Auburn CA 95602-2410

1194774299 (530) 888-4500

Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979 Nevada 10121 Pine Avenue

Truckee CA 96161-4835

1538265780 (530) 857-6011

Twin Cities Community Twin Cities Community Limited 06/09/1986 San Luis Obispo 1100 Las Tablas Road

Templeton CA 93465-9704

1396778197 (805) 434-3500

Page 6 of 206/2/18 6:30 PM

Page 7: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Ukiah Adventist Hospital Ukiah Vly Med Ctrhosp Limited 07/01/1997 Mendocino 275 Hospital Drive

Ukiah CA 95482-4531

1235120676 (707) 462-3111

Willits Hospital Inc Frank R Howard Memorial Hosp Limited 02/25/2011 Mendocino 1 Marcela Drive

Willits CA 95490-5769

1356339543 (707) 459-6801

Long Beach Memorial Memorial Hospital Med Long 05/01/1980 Los Angeles 2801 Atlantic Avenue

Long Beach CA 90806-1701

1962442012 (562) 933-2000

Stanford Hospital Clinics Stanford Hospital Clinics Long 08/11/1974 Santa Clara 300 Pasteur Drive

Stanford CA 94305-2200

1871543215 (650) 498-7200

Antelope Valley Healthcare Antelope Valley Hospital Pediatric Community 12/01/1982 Los Angeles 1600 W Avenue

J

Lancaster CA 93534-2814

1366419517 (661) 949-5000

Bakersfield Memorial Bakersfield Memorial Hospita Pediatric Community 04/06/2009 Kern 420 34th Street

Bakersfield CA 93301-2237

1467538520 (661) 327-4647

Cha Hollywood Medical Hollywood Presbyterian Med Pediatric Community 03/22/1999 Los Angeles 1300 N Vermont Avenue

Los Angeles CA 90027-6005

1922033547 (323) 644-4452

Childrens Hosp At Childrens Hosp of Orange Pediatric Community 04/06/2009 Orange 27700 Med Center Road

5th Fl

Mission Viejo CA 92691-6426

1699868398 (714) 365-2180

Citrus Valley Med Ctr Citrus Valley Med Ctr Pediatric Community 12/29/2003 Los Angeles 1115 S Sunset Avenue

West Covina CA 91790-3940

1063441293 (626) 962-4011

Citrus Valley Medical Citrus Valley Med Ctr Pediatric Community 12/29/2003 Los Angeles 210 W San Bernardino

Covina CA 91723-1515

1982629440 (626) 331-7331

Page 7 of 206/2/18 6:30 PM

Page 8: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

County of Monterey Natividad Medical Center Pediatric Community 03/01/1996 Monterey 1441 Constitution Boulevard

Salinas CA 93906-3100

1699979245 (831) 755-4111

County of Riverside Riverside University Health Pediatric Community 04/01/1975 Riverside 26520 Cactus Avenue

Moreno Valley CA 92555-3927

1821159195 (951) 486-4470

County of San Bernardino Arrowhead Regional Medical Pediatric Community 04/14/2000 San Bernardino 400 N Pepper Avenue

Colton CA 92324-1801

1790781169 (909) 580-2634

County of Ventura Ventura County Medical Cente Pediatric Community 04/01/1978 Ventura 3291 Loma Vista Road

Ventura CA 93003-3099

1629167457 (805) 652-6000

Dameron Hospital Pacific Heart And Vascular C Pediatric Community 01/01/1998 San Joaquin 525 W Acacia Street

Stockton CA 95203-2484

1538163886 (209) 944-5550

Desert Regional Medical Desert Regional Medical Pediatric Community 04/03/2003 Riverside 1150 N Indian Canyon Drive

Palm Springs CA 92262-4872

1104856095 (760) 323-6511

Dignity Health Ca Hosp Med Center-La Pediatric Community 06/16/2017 Los Angeles 1401 S Grand Avenue

Los Angeles CA 90015-3010

1114081056 (213) 748-2411

Dignity Health Methodist Hospital of Sac Pediatric Community 01/01/1986 Sacramento 7500 Hospital Drive

Sacramento CA 95823-5403

1467560599 (916) 423-3000

Dignity Health St Mary Medical Center Pediatric Community 10/17/2003 Los Angeles 1050 Linden Avenue

Long Beach CA 90813-3321

1194840421 (562) 491-9810

Dignity Health Dominican Hospital Pediatric Community 11/01/1978 Santa Cruz 1555 Soquel Drive

Santa Cruz CA 95065-1705

1427181007 (831) 462-7700

Dignity Health Northridge Hosp Med Cntr Pediatric Community 12/05/1961 Los Angeles 18300 Roscoe Boulevard

Northridge CA 91325-4105

1417089350 (818) 885-8500

Page 8 of 206/2/18 6:30 PM

Page 9: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Dignity Health Mercy San Juan Medical Ctr Pediatric Community 02/23/2006 Sacramento 6501 Coyle Avenue

Carmichael CA 95608-0306

1972541498 (916) 537-5000

Dignity Health Marian Regional Medical Cen Pediatric Community 09/30/2001 Santa Barbara 1400 E Church Street

Santa Maria CA 93454-5906

1760510937 (805) 739-3000

Fountain Valley Regional Fountain Vly Reg Hospmed Pediatric Community 10/14/2003 Orange 17100 Euclid Street

Fountain Valley CA 92708-4004

1821002007 (714) 966-7200

Fresno Community Hospital Community Regional Medical C Pediatric Community 08/23/2002 Fresno 2823 Fresno Street

Fresno CA 93721-1324

1104906569 (559) 459-1672

Garfield Medical Center Ahmc Garfield Med Ctr Lp Pediatric Community 12/02/1997 Los Angeles 525 N Garfield Avenue

Monterey Park CA 91754-1205

1730171265 (626) 943-4100

Kaiser Foundation Kaiser Found Hosp-Bellfl Pediatric Community 04/06/2009 Los Angeles 9333 Imperial Highway

Downey CA 90242-2812

1518012301 (310) 461-3000

Kaiser Foundation Hosp Kaiser Foundation Hosp Pediatric Community 03/01/1980 San Francisco 2425 Geary Boulevard

San Francisco CA 94115-3358

1134299522 (415) 829-4000

Kaiser Foundation Hosp Kaiser Foundation Hosp Pediatric Community 10/13/2006 Contra Costa 1425 S Main Street

Walnut Creek CA 94596-5318

1639244262 (925) 295-5888

Kaiser Foundation Hosp Kaiser Foundation Hosp Pediatric Community 04/06/2009 Alameda 27400 Hesperian Boulevard

Hayward CA 94545-4235

1801960513 (510) 784-4000

Kaiser Foundation Hospitals Orange County Lakeview Pediatric Community 07/22/2008 Orange 441 N Lakeview Avenue

Anaheim CA 92807-3028

1144375056 (714) 998-4400

Kaiser Foundation Hospitals Kaiser Foundation Hospital Z Pediatric Community 04/06/2009 San Diego 4647 Zion Avenue

San Diego CA 92120-2507

1013062769 (619) 528-6295

Page 9 of 206/2/18 6:30 PM

Page 10: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Kaiser Found Hosp Wla Kaiser Found Hosp Wla Pediatric Community 03/01/1980 Los Angeles 6041 Cadillac Avenue

Los Angeles CA 90034-1702

1134274897 (323) 857-2201

Kern County Hospital Kern Medical Center Pediatric Community 07/01/2016 Kern 1700 Mt Vernon Avenue

Bakersfield CA 93306-4018

1376623538 (661) 326-2000

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

Los Angeles CA 90059-3019

1417060237

Los Angeles County Olive La County Olive View-UCLA Pediatric Community 09/01/1975 Los Angeles 14445 Olive View Drive

Sylmar CA 91342-1437

1417970567 (818) 901-3000

Mission Hosp Reg Med Ctr Mission Hosp Reg Med Ctr Pediatric Community 10/22/2001 Orange 27700 Medical Center Road

Mission Viejo CA 92691-6426

1992752315 (714) 364-1400

O'Connor Hosp O'Connor Hosp Pediatric Community 08/01/1996 Santa Clara 2105 Forest Avenue

San Jose CA 95128-1471

1649381682 (408) 947-2500

Palomar Health Palomar Health Downtown Camp Pediatric Community 12/07/1983 San Diego 2185 Citracado Parkway

Escondido CA 92025-4159

1457321317 (760) 739-3000

Pasadena Hosp Assn, Ltd Huntington Memorial Hosp Pediatric Community 12/04/2003 Los Angeles 100 W California Boulevard

Pasadena CA 91105-3010

1407828429 (626) 397-5000

Pomona Valley Hospital Pomona Valley Comm Hospi Pediatric Community 11/08/1974 Los Angeles 1798 N Garey Avenue

Pomona CA 91767-2918

1407813660 (909) 865-9500

Providence Health System Providence Little Co of Mary Pediatric Community 11/01/2005 Los Angeles 4101 Torrance Boulevard

Torrance CA 90503-4607

1902844988 (310) 540-7676

Riverside Healthcare Sys Riverside Community Hosp Pediatric Community 05/17/2004 Riverside 4445 Magnolia Avenue

Riverside CA 92501-4135

1336186394 (702) 855-1022

Page 10 of 206/2/18 6:30 PM

Page 11: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

San Joaquin General Hosp San Joaquin General Pediatric Community 08/07/1977 San Joaquin 500 W Hospital Road

French Camp CA 95231

1275605180 (209) 468-6937

Santa Barbara Cottage Santa Barbara Cottage Ho Pediatric Community 12/29/2003 Santa Barbara 400 W Pueblo

Santa Barbara CA 93105-4353

1477554152 (805) 682-7111

Santa Monica-UCLA Med Ct Regents of The Univ Ca Pediatric Community 12/01/1977 Los Angeles 1250 16th Street

Santa Monica CA 90404-1249

1427055839 (310) 319-4000

Santa Rosa Memorial Hosp Santa Rosa Memorial Hosp Pediatric Community 05/01/1978 Sonoma 1165 Montgomery Drive

Santa Rosa CA 95405-4801

1134152549 (707) 546-3210

Scripps Health Scripps Mercy Hospital Pediatric Community 09/30/1993 San Diego 4077 5th Avenue

San Diego CA 92103-2105

1659359446 (858) 927-5164

Sierra Vista Hospital Inc Sierra Vista Regional Pediatric Community 07/29/1975 San Luis Obispo 1010 Murray Avenue

San Luis Obispo CA 93405-1806

1639101116 (805) 546-7600

Simi Valley Hospital Simi Valley Hosp Hlth Pediatric Community 11/01/1984 Ventura 2975 Sycamore Drive

PO Box 819

Simi Valley CA 93065-1201

1063495190 (805) 955-6000

Sutter Bay Hospitals Mills-Peninsula Medical Cent Pediatric Community 10/04/1977 San Mateo 1501 Trousdale Drive

Burlingame CA 94010-4506

1043670334 (650) 696-5400

Valley Presbyterian Hosp Valley Presbyterian Hosp Pediatric Community 10/01/1971 Los Angeles 15107 Vanowen Street

Van Nuys CA 91405-4597

1578529285 (818) 782-6600

White Memorial Med Ctr White Memorial Med Ctr Pediatric Community 09/01/1980 Los Angeles 1720 E Cesar E Chavez Av

Los Angeles CA 90033-2481

1215927470 (323) 268-5000

Page 11 of 206/2/18 6:30 PM

Page 12: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Ahmc Anaheim Reg Med Ctr Ahmc Anaheim Reg Med Ctr Special 09/15/1979 Orange 1111 W La Palma Avenue

Anaheim CA 92801-2804

1891938122 (714) 774-1450

Casa Colina Hospital For Casa Colina Hospital Special 04/01/2016 Los Angeles 255 E Bonita Avenue

Pomona CA 91767-1923

1952777245 (909) 596-7733

City of Hope Helford City of Hope Helford Special 07/01/1979 Los Angeles 1500 Duarte Road

Duarte CA 91010-3012

1114109337 (818) 359-8111

Community Memorial Health Comm Mem Hosp San Special 01/23/1998 Ventura 147 N Brent Street

Ventura CA 93003-2809

1215903018 (805) 652-5011

County of Los Angeles Rancho National Rehabilitation Special 03/03/1980 Los Angeles 7601 Imperial Highway

Downey CA 90242-3456

1275540171 (562) 401-7022

Dignity Health Glendale Memorial Hospital Special 01/19/2001 Los Angeles 1420 S Central Avenue

Glendale CA 91204-2508

1477610640 (818) 502-1900

Fresno Community Hospital Clovis Comm Medical Ctr Special 05/15/2014 Fresno 2755 Herndon Avenue

Clovis CA 93611-6801

1316027709 (559) 459-6000

Glendale Adventist Med Glendale Adventist Med Special 01/19/1994 Los Angeles 1509 Wilson Ter

Glendale CA 91206-4007

1831188275 (818) 409-8000

Healthbridge Children's Robert Buckley, Et Al Special 07/05/2001 Orange 393 S Tustin Street

Orange CA 92866-2501

1225015985 (713) 355-6111

Kaiser Foundation Hosp Kaiser Woodland Hills Special 04/06/2009 Los Angeles 5601 De Soto Avenue

Woodland Hills CA 91367-6701

1295880912 (818) 719-2000

Kaiser Foundation Hosp Kaiser Foundation Hosp Special 09/24/1992 Los Angeles 13652 Cantara Street

Panorama City CA 91402-5423

1376698043 (000) 781-2361

Page 12 of 206/2/18 6:30 PM

Page 13: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Mountain View Child Care Inc Totally Kids Rehabilitation Special 01/01/2015 San Bernardino 1720 Mountain View Avenue

Loma Linda CA 92354-1727

1003133695 (909) 796-6915

Orange County Global Medical Orange County Global Medical Special 04/28/2006 Orange 1001 N Tustin Avenue

Santa Ana CA 92705-3502

1982697678 (714) 953-3610

Prime Healthcare Svs II Sherman Oaks Hosp Special 03/06/1992 Los Angeles 4929 Van Nuys Boulevard

Sherman Oaks CA 91403-1702

1750491247 (818) 981-7111

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

Burbank CA 91505-4866

1336173269

Providence Health System Providence Holy Cross Special 01/08/2014 12/31/2055 Los Angeles 15031 Rinaldi Street

Mission Hills CA 91345-1207

1477587632 (818) 365-8057

Rancho Los Amigos National Rehab Ctr Special 01/01/1980 Los Angeles 7601 E Imperial Highway

Downey CA 90242-3456

1801803705 (562) 401-7022

Saint Agnes Medical Center Saint Agnes Medical Center Special 07/22/1981 Fresno 1303 E Herndon Avenue

Fresno CA 93720-3309

1205845567 (559) 450-3000

Scripps Health Scripps Memorial Hospital Special 03/03/1980 San Diego 9888 Genesee Avenue

La Jolla CA 92037-1205

1841277704 (858) 457-4123

Scripps Health Scripps Mercy Hospital Chula Special 01/08/1992 San Diego 435 H Street

Chula Vista CA 91910-4307

1659359446 (619) 691-7000

Shriners Hospitals Shriners Hosp For Chldrn Special 01/01/2009 Los Angeles 3160 Geneva Street

Los Angeles CA 90020-1117

1508908591 (213) 388-3151

Shriners Hospitals For Shriners Hospitals For Child Special 04/18/2011 Sacramento 2425 Stockton Boulevard

Sacramento CA 95817-2215

1962530451 (916) 453-2002

Page 13 of 206/2/18 6:30 PM

Page 14: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

St Francis Mem Hosp St Francis Mem Hosp Special 07/01/1972 San Francisco 900 Hyde Street

San Francisco CA 94109-4899

1316061997 (415) 353-6100

St Mary Medical Center St Mary Medical Center Special 11/01/2015 San Bernardino 18300 Us Highway

PO Box 1225 18

Apple Valley CA 92307-2206

1669456299 (714) 242-2311

Sutter East Bay Hospitals Alta Bates Summit Med Ct Special 02/01/1977 Alameda 1 Colby Plaza

At Ashby

Berkeley CA 94705

1013906221 (415) 845-7110

University of Southern Calif Keck Hospital of Usc Special 04/26/2001 Los Angeles 1500 San Pablo Street

Los Angeles CA 90033-5313

1952546616 (323) 442-8500

Vibra Hospital of San Bernar Ballard Rehabilitation Hosp Special 01/27/2007 San Bernardino 1760 W 16th Street

San Bernardino CA 92411-1160

1497748081 (909) 473-1275

Watsonville Hosp Corp Watsonville Comm Hosp Special 10/01/1978 Santa Cruz 75 Neilson Street

Watsonville CA 95076-2468

1710958228 (831) 763-6040

West Hills Hospital West Hills Reg Med Ctr Special 09/01/2016 Los Angeles 7300 Medical Center Drive

P.O. Box 7937

West Hills CA 91307-1902

1023065729 (702) 855-1022

Asante Rogue Valley Medical Center Standard 05/12/1980 2825 E Barnett Road

Medford OR 97504-8332

1770587107 (541) 789-4728

Dignity Health Woodland Memorial Hospital Standard 08/14/1986 Yolo 1325 Cottonwood Street

Woodland CA 95695-5131

1922116037 (530) 662-3961

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Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Dignity Health Mercy Medical Center Redding Standard 01/01/2002 Shasta 2175 Rosaline Avenue

Redding CA 96001-2509

1477671535 (530) 225-6102

El Camino Hosp El Camino Hosp Standard 07/01/1997 Santa Clara 2500 Grant Road

Mountain View CA 94040-4302

1093712374 (650) 940-7000

El Centro Regional Medical El Centro Regional Medical Standard 07/07/1978 Imperial 1415 Ross Avenue

El Centro CA 92243-4306

1861409823 (619) 339-7100

Good Samaritan Hosp Good Samaritan Hosp Standard 01/01/1989 Los Angeles 1225 Wilshire Boulevard

Los Angeles CA 90017-1901

1508859323 (213) 977-2121

Good Samaritan Hosp, Lp Good Samaritan Hosp, Lp Standard 01/01/1979 Santa Clara 2425 Samaritan Drive

San Jose CA 95124-3985

1376595777 (702) 855-1022

John Muir Medical Center John Muir Medical Center Standard 11/01/1978 Contra Costa 1601 Ygnacio Valley Road

Walnut Creek CA 94598-3122

1740215219 (925) 939-3000

Kaiser Foundation Hospital Kaiser Foundation Hospital Standard 03/01/1979 Solano 975 Sereno Drive

Vallejo CA 94589-2441

1366513509 (707) 651-1000

Kaiser Foundation Hospitals Kaiser Foundation Hosp Standard 04/01/1965 San Bernardino 9961 Sierra Avenue

Fontana CA 92335-6720

1356496772 (714) 822-3371

Kaweah Delta Health Care Kaweah Delta Med Ctr Standard 01/01/1994 Tulare 400 W Mineral King Avenue

Visalia CA 93291-6237

1588663769 (209) 625-2211

Marin General Hospital Marin General Hospital Standard 09/01/1972 Marin 250 Bon Air Road

Greenbrae CA 94904-1702

1396725677 (415) 925-7000

Northbay Healthcare Group Northbay Medical Ctr Standard 08/01/1996 Solano 1200 B Gale Wilson Boulevard

Fairfield CA 94533-3552

1821147786 (707) 429-3600

Page 15 of 206/2/18 6:30 PM

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Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Palomar Health Palomar Health Dntwn Campus Standard 12/07/1983 San Diego 555 E Valley Parkway

Escondido CA 92025-3048

1457321317 (760) 739-3000

Parkview Community Hosp Parkview Community Hosp Standard 07/01/1988 Riverside 3865 Jackson Street

Riverside CA 92503-3919

1225038953 (714) 688-2211

Pioneers Memorial Health Pioneers Memorial Health Standard 10/04/1985 Imperial 207 W Legion Road

Brawley CA 92227-7780

1073519443 (760) 351-3333

Presbyterian Intercommunity Presbyterian Intercomm Standard 08/01/1974 Los Angeles 12401 Washington Boulevard

Whittier CA 90602-1006

1043215379 (310) 698-0811

Prime Hlthcare Centinela LLC Centinela Hosp Med Ctr Standard 01/01/1980 Los Angeles 555 E Hardy Street

Inglewood CA 90301-4011

1336328244 (310) 673-4660

Providence Health System Providence Tarzana Med Standard 04/06/2009 Los Angeles 18321 Clark Street

Tarzana CA 91356-3501

1821250762 (818) 881-0800

Providence Saint Johns Providence Saint Johns Standard 01/01/1985 Los Angeles 2121 Santa Monica Boulevard

Santa Monica CA 90404-2303

1124026273 (310) 829-5511

Redlands Community Hosp Redlands Community Hosp Standard 08/01/1983 San Bernardino 350 Terracina Boulevard

Redlands CA 92373-4897

1316081482 (714) 793-3101

Renown Regional Med Ctr Renown Regional Med Ctr Standard 01/01/1979 1155 Mill Street

Reno NV 89502-1474

1124098421 (775) 982-4100

Salinas Valley Memorial Salinas Valley Memorial Standard 09/01/1977 Monterey 450 E Romie Lane

Salinas CA 93901-4098

1750384079 (408) 757-4333

San Antonio Regional San Antonio Community Ho Standard 01/01/1994 San Bernardino 999 San Bernardino Road

Upland CA 91786-4922

1780681189 (714) 985-2811

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Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

San Bernardino Community Comm Hosp of San Bernardino Standard 08/11/1988 San Bernardino 1805 Medical Center Drive

San Bernardino CA 92411-1217

1235290818 (909) 806-1200

San Francisco Gen Hosp San Francisco Gen Hosp Standard 05/01/1978 San Francisco 1001 Potrero Avenue

San Francisco CA 94110-3518

1649213000 (415) 821-8200

San Jose Healthcare Sys Regional Med Ct San Jose Standard 01/01/1979 Santa Clara 225 N Jackson Avenue

San Jose CA 95116-1603

1821041765 (702) 855-1022

Sequoia Health Services Sequoia Hospital Standard 09/01/1977 San Mateo 170 Alameda De Las Pulgas

Redwood City CA 94062-2751

1235172057 (415) 367-5561

Sharp Chula Vista Med Ct Sharp Chula Vista Med Ct Standard 11/01/1978 San Diego 751 Medical Center

Ct

Chula Vista CA 91911-6617

1396728630 (619) 502-5800

St Francis Medical Ctr St Francis Medical Ctr Standard 04/01/1998 Los Angeles 3630 E Imperial Highway

Lynwood CA 90262-2609

1487697215 (310) 900-8900

St Jude Hospital St Jude Medical Ctr Standard 08/01/1982 Orange 101 E Valencia Mesa Drive

Fullerton CA 92835-3809

1891904942 (714) 871-3280

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

Reno NV 89503-4548

1265421887

Torrance Memorial Med Ct Torrance Memorial Med Ct Standard 11/01/1986 Los Angeles 3330 Lomita Boulevard

Torrance CA 90509-9977

1467459776 (310) 325-9110

Washington Township Hlthcre Washington Hospital Standard 09/01/1977 Alameda 2000 Mowry Avenue

Fremont CA 94538-1746

1780614685 (415) 797-1111

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Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

California Pacific Med Calif Pacific Med Ctr Tertiary 01/01/1990 San Francisco Clay Buchanan Street

San Francisco CA 94115

1689732885 (415) 563-4321

Cedars-Sinai Medical Ctr Cedars Sinai Med Ctr Tertiary 01/01/1977 Los Angeles 8700 Beverly Boulevard

Los Angeles CA 90048-1804

1639172372 (310) 855-5000

Childrens Hospital Medical Childrens Hospital And Resea Tertiary 11/01/1984 Alameda 747 52nd Street

Oakland CA 94609-1809

1003961251 (510) 428-3000

Childrens Hospital of Childrens Hospital of Orange Tertiary 12/01/1979 Orange 1201 W La Veta Avenue

Orange CA 92868-3874

1811080526 (714) 997-3000

Childrens Hospital of La Childrens Hospital of La Tertiary 01/01/1955 Los Angeles 4650 W Sunset Boulevard

Los Angeles CA 90027-6062

1124073366 (323) 660-2450

Kaiser Foundation Hosp Kaiser Foundation Hosp Tertiary 03/01/1972 Santa Clara 700 Lawrence Expressway

Santa Clara CA 95051-5173

1326119967 (408) 244-5500

Kaiser Foundation Hosp Kaiser Foundation Hosp Tertiary 04/06/2009 Alameda 275 W Macarthur Boulevard

Oakland CA 94611-5641

1427123132 (415) 653-6121

Kaiser Foundation Hosp Kaiser Foundation Hosp Tertiary 04/06/2009 Los Angeles 4867 W Sunset Boulevard

Los Angeles CA 90027-5969

1821143777 (213) 667-4811

Kaiser Foundation Hospitals Kaiser Foundation Hospitals Tertiary 09/27/2011 Placer 1600 Eureka Road

Roseville CA 95661-3027

1073811378 (916) 784-5727

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

Los Angeles CA 90033-1029

1285647933

Loma Linda University Loma Linda University Tertiary 02/20/1968 San Bernardino 11234 Anderson Street

Loma Linda CA 92354-2804

1699782599 (714) 796-7311

Page 18 of 206/2/18 6:30 PM

Page 19: California Children Services Approved Hospital … Children Services Approved Hospital ... 332-7300 Feather River ... Tahoe Forest Hosp Dist Tahoe Forest Hospital Limited 01/01/1979

Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Los Angeles County Harbor La County Harbor UCLA Tertiary 03/05/2004 Los Angeles 1000 W Carson Street

Torrance CA 90502-2004

1497778401 (310) 222-2345

Lucile Salter Packard Packard Childrens Hospital Tertiary 07/03/1989 Santa Clara 725 Welch Road

Palo Alto CA 94304-1601

1467442749 (650) 497-8000

Radys Childrens Hospital Rady Children's Hosp Tertiary 01/01/1954 San Diego 3020 Childrens Way

San Diego CA 92123-4223

1710065933 (858) 576-1700

Regents of The Univ Ca UCSD Medical Center Tertiary 05/05/1982 San Diego 200 W Arbor Drive

San Diego CA 92103-1911

1184722779 (619) 543-6060

Regents of The University of Ronald Reagan UCLA Med Tertiary 08/01/1962 Los Angeles 757 Westwood Plaza

Los Angeles CA 90095-8358

1902803315 (310) 825-8021

Santa Clara Med Ctr Santa Clara Med Ctr Tertiary 02/01/1977 Santa Clara 751 S Bascom Avenue

San Jose CA 95128-2604

1063406551 (408) 885-7200

Sutter Bay Hospitals Calif Pacific Medical C Tertiary 12/03/1997 San Francisco 3555 Cesar Chavez Street

San Francisco CA 94110-4403

1881712933 (415) 647-8600

Sutter Health Hospitals Sutter Medical Center Sacram Tertiary 01/01/1978 Sacramento 2825 Capitol Avenue

Sacramento CA 95816-5616

1811946734 (916) 887-0000

Sutter Valley Hospitals Memorial Medical Center Tertiary 05/01/2017 Stanislaus 1700 Coffee Road

Modesto CA 95355-2803

1699129601 (209) 572-7134

U C Davis Medical Center U C Davis Medical Center Tertiary 08/04/1977 Sacramento 2315 Stockton Boulevard

Sacramento CA 95817-2201

1710918545 (916) 734-2011

UCSF Medical Center Regents of Univ of Ca Tertiary 01/01/1981 San Francisco 505 Parnassus Avenue

San Francisco CA 94143-2204

1457450116 (415) 476-1000

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Legal Name Business Name Facility Type StartDt EndDt County AddressNPI Phone

Valley Childrens Hospital Valley Childrens Hospital Tertiary 03/06/1978 Madera 9300 Valley Childrens Place

Madera CA 93636-8762

1275694184 (559) 353-3000

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