WHITE MEMORIAL MEDICAL CENTER (NPI# 1215927470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215927470 |
| Entity Type | Organization |
| Organization Name | WHITE MEMORIAL MEDICAL CENTER |
| 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 | 2005-10-27 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. JOHN RAFFOUL (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3232685000 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 930000195 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT40103F | 05 | |
| CA | HSM30103F | 05 | |
| CA | BLUE SHIELD | ZZZA1920Z | 01 |
| CA | HSD30103F | 05 | |
| CA | BLUE CROSS | 050103 | 01 |
| CA | HSC30103F | 05 | |
| CA | ZZT30103F | 05 |
| 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 |
| 1942281936 | White Memorial Medical Center | Special Hospital | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-11-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1821535030 | Nieroshan Rajarubendra | General Acute Care Hospital | Usc Norris Cancer Center 1441 Eastlake Ave, Suite 7416, Los Angeles, CA 90089-9178 | 2017-01-25 |
| 1700338647 | Rsm Health Inc | General Acute Care Hospital | 212 Bailey St Suite 204, Los Angeles, CA 90033-2460 | 2016-10-26 |
| 1114477502 | Bagdasar Terpogosyan | General Acute Care Hospital | 1626 N Hobart Blvd, Los Angeles, CA 90027 | 2016-10-10 |
| 1558819391 | University of Southern California | General Acute Care Hospital | 1441 Eastlake Avenue, Suite 3440, Los Angeles, CA 90033-4972 | 2016-09-21 |
| 1346602042 | Ronald Reagan Ucla | General Acute Care Hospital | 3759 Delmas Ter, Unit 2, Los Angeles, CA 90034-5168 | 2016-03-22 |
| 1699133140 | Chino Valley Medical Center | General Acute Care Hospital | 1424 N Poinsettia Pl Apt 304, Los Angeles, CA 90046-4388 | 2016-01-29 |
| 1952784514 | L.a. Neurodiagnosticservices Inc. | General Acute Care Hospital | 1124 W 90th St, Los Angeles, CA 90044-3312 | 2015-07-01 |
| 1942680814 | Michael Tehrani Md Apc | General Acute Care Hospital | 10540 Wilshire Blvd, Suite 501, Los Angeles, CA 90024-4502 | 2015-06-04 |
| 1619354370 | Yael Bogler | General Acute Care Hospital | 3185 S Sepulveda Blvd Apt 302, Los Angeles, CA 90034-4221 | 2015-05-01 |
| 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.