UNIVERSITY OF SOUTHERN CALIFORNIA


Address: 1510 San Pablo St, Hcc 600, Los Angeles, CA 90033-5320
Phone: 3234429775

UNIVERSITY OF SOUTHERN CALIFORNIA (NPI# 1104206176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104206176
Entity Type Organization
Organization Name UNIVERSITY OF SOUTHERN CALIFORNIA
Other Organization Name USC VERDUGO HILLS HOSPITAL SNF
Practice Address 1510 San Pablo St
Hcc 600
Los Angeles
CA 90033-5320
Practice Telephone 3234429775
Practice Fax Number 3234429848
Mailing Telephone 3234429775
Mailing Fax Number 3234429848
Enumeration Date 2015-06-04
Last Update Date 2015-06-04
Authorized Official Name MR. THOMAS E. JACKIEWICZ (SVP & CEO)
Authorized Official Telephone 3234429775
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility CA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
USC Verdugo Hills Hospital SNF Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841724168 University of Southern California Dentist 545 S. San Pedro Street, Second Floor, Los Angeles, CA 90013-2101 2017-04-13
1558819391 University of Southern California General Acute Care Hospital 1441 Eastlake Avenue, Suite 3440, Los Angeles, CA 90033-4972 2016-09-21
1306263264 University of Southern California Pharmacy 830 S Flower St, Los Angeles, CA 90017-4608 2014-03-27
1568595684 University of Southern California Clinical Medical Laboratory 1441 Eastlake Avenue, Room 5409, Los Angeles, CA 90033 2007-03-14
1427181577 University of Southern California Clinical Medical Laboratory 1200 North State Street, Barracks D, Los Angeles, CA 90033 2007-03-14
1881727220 University of Southern California Clinical Medical Laboratory 1321 North Mission Road, Lrb 207 and 208, Los Angeles, CA 90033 2007-03-14
1427181072 University of Southern California Clinical Medical Laboratory 126 W. Del Mar Blvd, Pasadena, CA 91105-2508 2007-03-13
1285707158 University of Southern California Dentist 3151 S Hoover St, Los Angeles, CA 90089-0641 2006-11-16
1952480469 University of Southern California Pharmacy 3601 Trousdale Pkwy, Stu 101, Los Angeles, CA 90089-0096 2006-11-03
1790160273 University of Southern California Pharmacy 1000 S Fremont Ave, Suite 10150, Alhambra, CA 91803-8800 2015-07-24

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations UNIVERSITY OF SOUTHERN CALIFORNIA 3551 Trousdale Parkway, Adm 352, Los Angeles, CA 90089-5013
North Carolina Corporations University of Southern California 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608

Office Location

Street Address 1510 SAN PABLO ST
HCC 600
City LOS ANGELES
State CA
Zip Code 90033-5320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225012776 Nancy Danz Shebel Nurse Practitioner 1510 San Pablo St, Suite 514, Los Angeles, CA 90033-5320 2005-11-29
1154816866 Dordaneh Eureka Sugano Student in an Organized Health Care Education/Training Program 1510 San Pablo St, Los Angeles, CA 90033-5320 2018-06-25
1841739299 Ashley Brown Plastic Surgery 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 2017-02-17
1184167140 Eric Nagengast Student in an Organized Health Care Education/Training Program 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 2016-11-23
1114370129 Sylvia Yolanda Rodriguez Pharmacist 1510 San Pablo St, Suite 144, Los Angeles, CA 90033-5320 2016-07-14
1497106843 Keck Medical Center General Acute Care Hospital 1510 San Pablo St, Suite 322, Los Angeles, CA 90033-5320 2016-06-27
1568825024 Cybele Arsan Student in an Organized Health Care Education/Training Program 1510 San Pablo St, Los Angeles, CA 90033-5320 2016-04-01
1770960221 Susana Dahdul Social Worker 1510 San Pablo St, Hcc 200, Los Angeles, CA 90033-5320 2015-05-05
1619368461 Victor Nekrasov Surgery 1510 San Pablo St, Hcc I, Suite 514, Los Angeles, CA 90033-5320 2015-02-16
1265835383 Meghan Mccullough Surgery 1510 San Pablo St, Suite 514, Los Angeles, CA 90033-5320 2014-10-02
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1780179770 Bedside Gtube Replacement and Management Skilled Nursing Facility 10420 S Figueroa St, Los Angeles, CA 90003-4424 2018-06-22
1053852772 Carehome Doctors, Inc Skilled Nursing Facility 501 S Oxford Ave Apt 17, Los Angeles, CA 90020-4228 2017-03-14
1124567334 Pmnp Medical Services Inc Skilled Nursing Facility 433 S Lake St Apt 214, Los Angeles, CA 90057-2740 2017-02-21
1124566229 Resource Connect Staffing, LLC Skilled Nursing Facility 3654 W 60th St, Los Angeles, CA 90043-2906 2017-02-08
1932658010 Golden State Homes, Inc. Skilled Nursing Facility 1409 N Normandie Ave, Los Angeles, CA 90027-5817 2016-09-29
1952768491 Ryan Stybel Optometry Inc Skilled Nursing Facility 8045 Emerson Ave, Los Angeles, CA 90045-1406 2016-01-27
1194195164 College Vista, LLC Skilled Nursing Facility 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 2015-10-02
1922411735 Avalon Post Acute LLC Skilled Nursing Facility 12029 Avalon Blvd, Los Angeles, CA 90061-2838 2014-06-09
1750633350 Pasadena Meadows Nursing Center, Lp Skilled Nursing Facility 1141 S Beverly Dr, Floor 3, Los Angeles, CA 90035 2012-10-05
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Competitor

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City LOS ANGELES
Zip Code 90033

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Dataset Information

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.

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