KECK MEDICAL CENTER OF USC (NPI# 1417554528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417554528 |
| Entity Type | Organization |
| Organization Name | KECK MEDICAL CENTER OF USC |
| Practice Address |
1441 Eastlake Ave Los Angeles CA 90089-1019 |
| Mailing Address |
1500 San Pablo St Los Angeles CA 90033-5313 |
| Practice Telephone | 3238653868 |
| Mailing Telephone | 3234228677 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | JEANNINE TAYLOR (SECRETARY) |
| Authorized Official Telephone | 2137407922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| USC Kenneth Norris Jr. Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514199 | Keck Medical Center of Usc | General Acute Care Hospital | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-10-02 |
| 1750988770 | Keck Medical Center of Usc | Rehabilitation Unit | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-10-02 |
| Street Address |
1441 EASTLAKE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162631 | Daniel Park | Physician Assistant | 1441 Eastlake Ave, Ste 7416, Los Angeles, CA 90089-2211 | 2005-05-23 |
| 1487296406 | Paige E. Asawa | Marriage & Family Therapist | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2019-10-10 |
| 1437629474 | Hrachuhi Lilit Hakhpandyan | Nurse Practitioner | 1441 Eastlake Ave, Los Angeles, CA 90089-2490 | 2018-12-03 |
| 1033696497 | Carmen Lucia Martinez | Dietitian, Registered | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2018-07-27 |
| 1093207508 | Jennifer Frutchey | Dietitian, Registered | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2018-05-31 |
| 1588167704 | Ju Hyung Lee | Nurse Practitioner | 1441 Eastlake Ave, Los Angeles, CA 90089-3420 | 2018-03-14 |
| 1063913531 | Akbar Ashrafi | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave, Los Angeles, CA 90089-0112 | 2018-02-21 |
| 1912444084 | Ricardo Araujo Brandina | General Acute Care Hospital | 1441 Eastlake Ave, Suite 7416, Los Angeles, CA 90089-0112 | 2017-01-26 |
| 1265981542 | Jan Huynh | Social Worker | 1441 Eastlake Ave, Los Angeles, CA 90089-0112 | 2016-09-27 |
| 1407207905 | Leslie Van La | Physician Assistant | 1441 Eastlake Ave, Suite 7416, Los Angeles, CA 90089-9178 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| 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 | 90089 |
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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.