WHITE MEMORIAL MEDICAL CENTER (NPI# 1952382947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952382947 |
| 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 | 2005-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN RAFFOUL (CFO) |
| Authorized Official Telephone | 3232685000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 930000195 | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | 050103 | 01 |
| CA | HSC30103F | 05 | |
| CA | BLUE SHIELD | ZZZA1920Z | 01 |
| 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 |
| 1942281936 | White Memorial Medical Center | Special Hospital | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-11-08 |
| 1215927470 | White Memorial Medical Center | General Acute Care Hospital | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-10-27 |
| 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 |
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| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275839037 | Supplemental Health Care | Rehabilitation Unit | 12819 Short Ave, Los Angeles, CA 90066-6420 | 2011-01-26 |
| 1750988770 | Keck Medical Center of Usc | Rehabilitation Unit | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-10-02 |
| 1740832328 | Kpc Global Medical Center of Downtown Los Angeles LLC | Rehabilitation Unit | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2019-07-12 |
| 1558796193 | Kindred | Rehabilitation Unit | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2013-09-12 |
| 1346591534 | University of Southern California | Rehabilitation Unit | 1500 San Pablo Street, Los Angeles, CA 90033-0107 | 2012-09-27 |
| 1457655029 | Total Body Chiropractic | Rehabilitation Unit | 11633 San Vicente Blvd Ste 214, Los Angeles, CA 90049-6513 | 2010-12-22 |
| 1114122710 | Good Samaritan Hospital | Rehabilitation Unit | 1225 Wilshire Blvd., Los Angeles, CA 90017 | 2007-06-15 |
| 1447279054 | Cha Hollywood Medical Center Lp | Rehabilitation Unit | 1300 N Vermont Ave, Los Angeles, CA 90027-6005 | 2006-07-18 |
| 1366401333 | Regents Univ of Calif Los Angeles | Rehabilitation Unit | 757 Westwood Plz, Los Angeles, CA 90095-7400 | 2006-03-20 |
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| 1851909543 | Harmony Rehab PC | Rehabilitation Unit | 530 Showers Dr Ste 7-212, Mountain View, CA 94040-4740 | 2020-07-17 |
| 1659813012 | Jordan Leeann Isom | Rehabilitation Unit | 3322 Saint Omer St Apt 33, Cottonwood, CA 96022-9414 | 2016-11-15 |
| 1568911972 | Van Ngo | Rehabilitation Unit | 3939 Monroe Ave Apt 124, Fremont, CA 94536-6903 | 2016-09-26 |
| 1659756450 | Rehab Alliance | Rehabilitation Unit | 1720 Mt View Ave, Loma Linda, CA 92354-1727 | 2015-07-22 |
| 1265828966 | Therasens Occupational Therapy | Rehabilitation Unit | 1900 Garden Rd Ste 200c, Monterey, CA 93940-5373 | 2015-04-09 |
| 1396081394 | Quest Psychological Consulting, Inc. | Rehabilitation Unit | 18411 Gothard St Unit I, Huntington Beach, CA 92648-1208 | 2012-12-19 |
| 1477805877 | First Rehabilitation Specialists, Inc. | Rehabilitation Unit | 475 Hamilton St, San Francisco, CA 94134-1731 | 2012-10-09 |
| 1316298607 | Dynamic Therapy Group, Inc. | Rehabilitation Unit | 8100 Hansom Dr, Oakland, CA 94605-4211 | 2012-09-26 |
| 1184973752 | Providence Speech and Hearing Center | Rehabilitation Unit | 1301 Providence Ave., Orange, CA 92868 | 2012-08-29 |
| 1396003034 | Armour X Sports In Orthopedic Medicine | Rehabilitation Unit | 22482 Lake Forest Ln, Lake Forest, CA 92630-3024 | 2012-05-01 |
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| 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.