SOUTHERN CALIFORNIA HEALTHCARE SYSTEM, INC (NPI# 1023010113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023010113 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA HEALTHCARE SYSTEM, INC |
| Other Organization Name | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD, AT VAN NUYS, AT CULVER CITY |
| Practice Address |
6245 De Longpre Ave Hollywood CA 90028-8253 |
| Practice Telephone | 3234622271 |
| Practice Fax Number | 3234633830 |
| Mailing Telephone | 3234622271 |
| Mailing Fax Number | 3234633830 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | MR. JON ZILKOW (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3109434500 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALTA HOSPITALS SYSTEM, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 930000066 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP40135I | 05 | |
| CA | HSC30135I | 05 | |
| CA | BLUE SHEILD | ZZZC9928Z | 01 |
| CA | HSP30135I | 05 |
| Other Name | Type Code |
|---|---|
| Southern California Hospital at Hollywood, at Van Nuys, at Culver City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922350206 | Southern California Healthcare System, Inc | Skilled Nursing Facility | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2012-10-10 |
| 1861744138 | Southern California Healthcare System, Inc | Rehabilitation Unit | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2012-10-10 |
| 1487905725 | Southern California Healthcare System, Inc | Psychiatric Unit | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2012-09-26 |
| Street Address |
6245 DE LONGPRE AVE |
| City | HOLLYWOOD |
| State | CA |
| Zip Code | 90028-8253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255883005 | Memorial Pathology Medical Group, Inc. | Pathology | 6245 De Longpre Ave, Hollywood, CA 90028-8253 | 2016-10-27 |
| 1730631730 | Arnel M Joaquin M D Inc | Specialist | 6245 De Longpre Ave, Suite 206, B, Hollywood, CA 90028-8253 | 2016-10-26 |
| 1881898740 | Joel Frederick Fine, Md A Med | Anesthesiology | 6245 De Longpre Ave, Hollywood, CA 90028-8253 | 2007-06-13 |
| 1346340494 | Cornelio C. Manzano Jr. | Specialist | 6245 De Longpre Ave, 206, Hollywood, CA 90028-8253 | 2006-09-25 |
| 1265470868 | Ideal Health Care and Medical | Specialist | 6245 De Longpre Ave, 206, Hollywood, CA 90028-8253 | 2006-06-04 |
| 1699713966 | Alexis Nixon | Physician Assistant | 6245 De Longpre Ave, 206, Hollywood, CA 90028-8253 | 2006-06-02 |
| 1730141888 | Patrick L Mullens | Pathology | 6245 De Longpre Ave, Hollywood, CA 90028-8253 | 2006-04-04 |
| 1144281163 | Kenneth C Nieberg Md Inc | Pathology | 6245 De Longpre Ave, Hollywood, CA 90028-8253 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417336728 | Palisades Medical Center | General Acute Care Hospital | 10348 Panama St, Hollywood, FL 33026-4529 | 2015-05-20 |
| 1407292014 | Erick Manuel Mendieta | General Acute Care Hospital | 3001 S Ocean Dr, Apt 501, Hollywood, FL 33019-2830 | 2013-05-22 |
| 1972927697 | Tammy A Dorfman Pa | General Acute Care Hospital | 3501 Johnson St, Hollywood, FL 33021-5421 | 2014-02-17 |
| 1891012456 | Memorial Regional Hospital | General Acute Care Hospital | 3501 Johnson St, Hollywood, FL 33021-5421 | 2010-04-22 |
| 1922206911 | Erin E Bauer | General Acute Care Hospital | 3501 Johnson St, Hollywood, FL 33021-5421 | 2007-07-11 |
| 1073543799 | Hollywood Medical Center, Inc. | General Acute Care Hospital | 3600 Washington St, Hollywood, FL 33021-8216 | 2006-07-05 |
| 1194794511 | Memorial Healthcare System | General Acute Care Hospital | 3501 Johnson St, Hollywood, FL 33021-5421 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.