WHITE MEMORIAL MEDICAL CENTER (NPI# 1942281936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942281936 |
| Entity Type | Organization |
| Organization Name | WHITE MEMORIAL MEDICAL CENTER |
| Other Organization Name | ADVENTIST HEALTH WHITE MEMORIAL |
| Practice Address |
1720 E Cesar E Chavez Ave Los Angeles CA 90033-2414 |
| Practice Telephone | 3232685000 |
| Practice Fax Number | 3232655070 |
| Mailing Telephone | 3232685000 |
| Mailing Fax Number | 3232655070 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | MR. JOHN RAFFOUL (CFO) |
| Authorized Official Telephone | 3232685000 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE MEMORIAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 930000195 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZA1920Z | 01 |
| CA | LTC55312F | 05 |
| Other Name | Type Code |
|---|---|
| Adventist Health White Memorial | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235599598 | White Memorial Medical Center | Clinic/Center | 259 N Euclid Ave, Apt 12, Pasadena, CA 91101-1516 | 2016-02-29 |
| 1689079402 | White Memorial Medical Center | Clinic/Center | 1720 Cesar E. Chavez Avenue, Los Angeles, CA 90033 | 2014-10-23 |
| 1952382947 | White Memorial Medical Center | Rehabilitation Unit | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-11-08 |
| 1215927470 | White Memorial Medical Center | General Acute Care Hospital | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WHITE MEMORIAL MEDICAL CENTER | 1720 Cesar E Chavez Ave, Los Angeles, CA 90033-2414 |
| Street Address |
1720 E CESAR E CHAVEZ AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865023 | Michael Hernandez | Psychiatry & Neurology | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-07-18 |
| 1003423070 | Ah Yeon Chang | Registered Nurse | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-09-24 |
| 1447866173 | Diana Escobar | Nurse Practitioner | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-09-18 |
| 1023636487 | Chi Le Hau | Pharmacist | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-07-10 |
| 1073130951 | Evelyn Escobedo Pol | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-26 |
| 1154947240 | Natalie Laurence Shammas | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-24 |
| 1457977696 | Anna Catherine Yates | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-23 |
| 1497371769 | Asal Honei Homayouni | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-22 |
| 1366068215 | Katie Lynn Young | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-17 |
| 1174149058 | Jessica Siu-ying Ehly-yu | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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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.