# EMANATE HEALTH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EMANATE HEALTH
- **Other names:** Citrus Valley Medical Center InterCommunity Skilled Nursing Facility, Emanate Health Inter-Community Hospital, Citrus Valley Medical Center Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629009097
- **Legal business name:** EMANATE HEALTH
- **Authorized official:** ROGER SHARMA (EXECUTIVE VP/CFO)
- **Authorized official phone:** (626) 938-7595

## Contact information

- **Practice address:** 210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
- **Practice address phone:** (626) 331-7331
- **Mailing address:** PO BOX 840149, LOS ANGELES, CA 90084-0149
- **Mailing address phone:** (626) 331-7331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 04/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002 | BLUE CROSS SO CAL | CA |
| 01 | — | 050382 | CHAMPUS | CA |
| 05 | — | LTC55610F | — | CA |
| 01 | — | ZZC1911Z | BLUE SHIELD CA | CA |