PATTON STATE HOSPITAL NPI 1679710362

NPI Information

  • NPI: 1679710362
  • Provider Name: PATTON STATE HOSPITAL
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Address: 3102 E HIGHLAND AVE
    PROGRAM 4, UNIT 35
    PATTON, CA
    ZIP 92369
  • Phone: (909) 425-7363

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NPI Details

PATTON STATE HOSPITAL is a psychiatric hospital in Patton, 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. PATTON STATE HOSPITAL NPI is 1679710362. The provider is registered as an organization entity type.

The provider's business location address is:

3102 E HIGHLAND AVE
PROGRAM 4, UNIT 35
PATTON, CA
ZIP 92369-813
Phone: (909) 425-7363
Fax: (909) 425-6208

The provider's authorized official is Andrew J Tamanaha .
The authorized official title is Staff Psychologist and has the following contact phone number (909) 425-7363.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 1/16/2009.

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 Hospital21662CALIFORNIAYes

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: 11/21/2025

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