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CANYON RIDGE HOSPITAL INC NPI 1902825128


NPI Information

NPI: 1902825128
Provider Name: CANYON RIDGE HOSPITAL INC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 05D0562196

Address:
5353 G ST
CHINO, CA
ZIP 91710
Phone: (909) 590-3700
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CANYON RIDGE HOSPITAL INC is a psychiatric hospital in Chino, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. CANYON RIDGE HOSPITAL INC NPI is 1902825128. The provider is registered as an organization entity type.

The provider's business location address is:

5353 G ST
CHINO, CA
ZIP 91710-249
Phone: (909) 590-3700
Fax: (909) 590-4012

The provider's authorized official is Steve Filton .
The authorized official title is Sr Vp Cfo and has the following contact phone number (610) 768-3300.

The CLIA number assigned to this NPI record is 05D0562196 - other - acute psychiatric hosp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 2/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric Hospital240000357CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1054111MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2HSM34111JMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.