ALTA LOS ANGELES HOSPITAL, INC (NPI# 1114132685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114132685 |
| Entity Type | Organization |
| Organization Name | ALTA LOS ANGELES HOSPITAL, INC |
| Other Organization Name | LOS ANGELES HOSPITAL |
| Practice Address |
4081 E Olympic Blvd Los Angeles CA 90023-3330 |
| Practice Telephone | 3238812600 |
| Practice Fax Number | 3232610809 |
| Mailing Telephone | 3238812600 |
| Mailing Fax Number | 3232610809 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | MISS DEBRA HENDERSON (CORPORATE CBO DIRECTOR) |
| Authorized Official Telephone | 5628045830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC70086F | 05 |
| Other Name | Type Code |
|---|---|
| LOS ANGELES HOSPITAL | Doing Business As Name - Organization |
| Street Address |
4081 E OLYMPIC BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001809 | Alta Los Angeles Hospitals, Inc. | Psychiatric Unit | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2005-05-24 |
| 1306365903 | Jennifer Sik | Occupational Therapist | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2017-09-14 |
| 1831617349 | Lynda Truc Nguyen | Nurse Practitioner | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2017-09-05 |
| 1417409269 | Memorial Pathology Medical Group, Inc. | Pathology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2016-10-27 |
| 1275907842 | Stephanie C. Cha, M.d. Inc. | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2015-11-19 |
| 1982048039 | Patrick L Mullens M D Inc | Pathology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2013-04-19 |
| 1063765907 | Er Physicians Medical Group, Inc. | Emergency Medicine | 4081 E Olympic Blvd, Emergency Dept, Los Angeles, CA 90023-3330 | 2012-10-16 |
| 1962752675 | Friedrich Roessler, M.d., Inc. | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2012-09-11 |
| 1306026562 | Shaival M Patel | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2007-11-05 |
| 1144381674 | Thomas Evans Mitchell Jr. | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245879709 | Pacifica Sakura Gardens Icf LLC | Skilled Nursing Facility | 325 S. Boyle Avenue, Los Angeles, CA 90033-3812 | 2020-01-02 |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90023 |
Please comment or provide details below to improve the information on ALTA LOS ANGELES HOSPITAL, INC.
| 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.