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1093712374

NPI Code Detail

MEDICARE: EL CAMINO HOSPITAL

MEDICARE: EL CAMINO HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	070000660	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	ZZZA43042	OTHER	CA	BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093712374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL CAMINO HOSPITAL

Provider Business Mailing Address
First Line	:	2500 GRANT RD
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4302
Country	:	US
Telephone Number	:	650-940-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 GRANT RD
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4302
Country	:	US
Telephone Number	:	650-940-7000
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE & REIMBURSEMENT
Name	:	MING-RONG CHEN WOO
Credential	:
Telephone Number	:	650-940-7247

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	06/30/2021

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Directions to “EL CAMINO HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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