Healthcare Provider Details

I. General information

NPI: 1194741108
Provider Name (Legal Business Name): EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 S GRAND AVE
GLENDORA CA
91741-4218
US

IV. Provider business mailing address

PO BOX 840149
LOS ANGELES CA
90084-0149
US

V. Phone/Fax

Practice location:
  • Phone: 626-963-8411
  • Fax:
Mailing address:
  • Phone: 626-963-8411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ROGER SHARMA
Title or Position: EXECUTIVE VP/CFO
Credential:
Phone: 626-938-7595