CHILDRENS HOSPITAL OF LOS ANGELES (NPI# 1124073366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124073366 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOSPITAL OF LOS ANGELES |
| Practice Address |
4650 W Sunset Blvd Los Angeles CA 90027-6062 |
| Practice Telephone | 3236692202 |
| Practice Fax Number | 3236687951 |
| Mailing Telephone | 3236692202 |
| Mailing Fax Number | 3236687951 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-11-02 |
| Authorized Official Name | LORI PELLICCIONI (VP, CORPORATE INTEGRITY) |
| Authorized Official Telephone | 3233615376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
930000032 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZH19032 | 01 |
| CA | BLUE CROSS | 053302 | 01 |
| NV | 1189050 | 05 | |
| CA | CHAMPUS | 681051 | 01 |
| CA | HSC30123F | 05 | |
| CA | ZZT40123F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477803450 | Childrens Hospital of Los Angeles | Clinic/Center | 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 | 2012-09-17 |
| Street Address |
4650 W SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1811596810 | Samih Samaha | Social Worker | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-21 |
| 1437756988 | Amanda Ruth Mendelis | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-07 |
| 1124638119 | Hayden Mensah Mbroh | Rehabilitation Counselor | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-04 |
| 1619587854 | Allyssa Marie Asperin Cayago | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-03 |
| 1134739592 | Alison Coombs | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-07-31 |
| 1679190482 | Jearelly Pinedo | Registered Nurse | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-26 |
| 1124644901 | Corey Hacker | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-17 |
| 1720602667 | Bhavna Shah | Physical Therapist | 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 | 2020-06-06 |
| 1023632528 | Bethany L Burdick | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
| 1508908591 | Shriners Hospitals for Children | General Acute Care Hospital | 3160 Genevea St, Los Angeles, CA 90020 | 2007-02-13 |
| 1427434968 | Albert Tu | General Acute Care Hospital | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2015-08-06 |
| 1689078479 | Lac Usc Medical Center | General Acute Care Hospital | 1200 N State St, Cta7d, Los Angeles, CA 90033-1029 | 2014-10-22 |
| 1770987562 | Lac Usc Medical Center | General Acute Care Hospital | 1200 N State St, Cta7d, Los Angeles, CA 90033-1029 | 2014-10-22 |
| 1093119877 | Lac Usc Medical Center | General Acute Care Hospital | 1200 N State St, Ird 112, Los Angeles, CA 90033-1029 | 2014-10-22 |
| 1720482508 | Lac Usc Medical Center | General Acute Care Hospital | 1200 N State St, Cta7d, Los Angeles, CA 90033-1029 | 2014-10-22 |
| 1609131655 | Mattel Children's Hospital | General Acute Care Hospital | Mattel Childrens Hospital At Ucla, David Geffen School of Medicine, Box 951752, Los Angeles, CA 90095-1752 | 2012-07-05 |
| 1568734655 | Bertrand A. Marcano, Md Inc | General Acute Care Hospital | 1700 E Cesar E Chavez Ave, Suite 3450, Los Angeles, CA 90033-2424 | 2012-02-03 |
| 1720361678 | Lizeth Ruiz | General Acute Care Hospital | 4650 W Sunset Blvd, Ms#53, Los Angeles, CA 90027-6062 | 2011-09-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on CHILDRENS HOSPITAL OF LOS ANGELES.
| 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.