VETERANS AFFAIRS MEDICAL CENTER


Address: 11301 Wilshire Blvd, Los Angeles, CA 90073-1003
Phone: 3104783711

VETERANS AFFAIRS MEDICAL CENTER (NPI# 1780780288) 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) 1780780288
Entity Type Organization
Organization Name VETERANS AFFAIRS MEDICAL CENTER
Practice Address 11301 Wilshire Blvd
Los Angeles
CA 90073-1003
Mailing Address 11301 Wilshire Blvd
Bldg 500, 2wab
Los Angeles
CA 90073-1003
Practice Telephone 3104783711
Mailing Telephone 3102684590
Enumeration Date 2006-09-15
Last Update Date 2020-08-22
Authorized Official Name CHARISSE FONTANILLA (SOCIAL WORKER)
Authorized Official Telephone 3104783711
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit Hospital Units

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962718692 Veterans Affairs Medical Center Clinic/Center 5709 Education Dr, Apartment 307, Cheyenne, WY 82009-3951 2010-08-18
1316103088 Veterans Affairs Medical Center Rehabilitation Hospital 14506 Highgate Hill Ct, Chesterfield, VA 23832-2457 2008-08-01
1164509477 Veterans Affairs Medical Center General Acute Care Hospital 2946 Kings Gate Blvd, Beavercreek, OH 45431-3900 2006-11-01
1790791069 Veterans Affairs Medical Center Exclusive Provider Organization 132 Northbridge Ave, Warwick, RI 02886-2824 2006-07-31
1124054317 Veterans Affairs Medical Center Adult Companion 2731 Highway 212 Sw, Conyers, GA 30094-3352 2006-06-23
1437402161 Veterans Affairs Medical Center General Acute Care Hospital 100 Emancipation Dr, Hampton, VA 23667-0001 2012-10-18
1578850285 Veterans Affairs Medical Center Military Hospital 100 Emancipation Dr, Hampton, VA 23667-0001 2011-07-01
1255651543 Veterans Affairs Medical Center Military Hospital 3900 Woodland Ave, Philadelphia, PA 19104-4551 2010-06-09
1376714360 Veterans Affairs Medical Center Medicare Defined Swing Bed Unit 385 Tremont Ave, East Orange, NJ 07018-1023 2008-03-18
1013041334 Veterans Affairs Medical Center General Acute Care Hospital 1201 Nw 16th St, Miami, FL 33125-1624 2007-03-16

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities VETERANS AFFAIRS MEDICAL CENTER 100 Emancipation Dr, Hampton, VA 23667-0001

Office Location

Street Address 11301 WILSHIRE BLVD
City LOS ANGELES
State CA
Zip Code 90073-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739043 Mark S Horng Internal Medicine 11301 Wilshire Blvd, 10-c-1, Los Angeles, CA 90073-1003 2005-06-09
1720685944 Sara Magdalin Dietitian, Registered 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-10-01
1336750223 Nathalie Esther Halajian Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-08-13
1811508344 Hillary Xanthe Enclade Speech-Language Pathologist 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-08-10
1356950919 Maren Abromowitz Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-29
1285243030 Alyson Prince Shittu Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-28
1124637087 Soheil Kooraki Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-27
1376152371 Ynez Sabio Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-24
1154949972 Leah Effron Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-08
1972120988 Justin Man Truong Pharmacist 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184223851 Emily Jenchura Psychologist 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 2020-10-22
1184285090 Marcela Leticia Orellana Galvez Podiatrist 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 2019-06-23
1508310996 Jennifer Maravola Student in an Organized Health Care Education/Training Program 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 2016-08-15
1861859480 Michael Fisher Student in an Organized Health Care Education/Training Program 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 2016-01-27
1629453295 Christopher Denzel Lewis Student in an Organized Health Care Education/Training Program 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 2015-07-24
1689089179 Rachel Stannus Social Worker 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 2014-06-24
1215355433 Michael Francis Zito Psychiatry & Neurology 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 2014-04-03
1831523901 Sarah Arensman Miller Psychologist 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 2013-08-26
1134447733 Stuart Thomas Yee Physical Medicine & Rehabilitation 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 2010-05-07
1306177654 Pete Petriashvili Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 2010-01-27
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851548721 Department of Mental Health Psychiatric Unit 4040 Adair St, Los Angeles, CA 90011-2902 2008-08-22
1902819659 County of Los Angeles Auditor Controller Psychiatric Unit 120 E 120th St, Los Angeles, CA 90061-2402 2006-08-14
1922001809 Alta Los Angeles Hospitals, Inc. Psychiatric Unit 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 2005-05-24
1780183335 L. A. Downtown Medical Center, LLC. Psychiatric Unit 1711 W Temple St, Los Angeles, CA 90026-5421 2018-02-09
1447644208 County of Los Angeles Psychiatric Unit 2051 Marengo St, Los Angeles, CA 90033-1352 2015-03-19
1548654304 County of Los Angeles Psychiatric Unit 1200 N State St, Los Angeles, CA 90033-1029 2015-03-19
1861758252 Ucla Psychiatric Unit 760 Westwood Plz, Ucla Psychiatry Res Ed Office, Los Angeles, CA 90024-5055 2012-04-10
1427293216 Success Healthcare 1 LLC Psychiatric Unit 1711 W Temple St, Los Angeles, CA 90026-5421 2008-12-08
1528222478 Cedars-sinai Medical Center Psychiatric Unit 8730 Gracie Allen Dr, Los Angeles, CA 90048-3811 2008-07-10
1063567956 Kaiser Foundation Hospitals Psychiatric Unit 765 W College St, Los Angeles, CA 90012-1181 2007-01-24
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90073

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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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