NPIMap

Organization Active NPI

Keck Medical Center of Usc

  • General Acute Care Hospital
  • Los Angeles, CA
National Provider Identifier
1013514199
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KECK MEDICAL CENTER OF USC
Practice address
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone
(323) 442-2844
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeannine Taylor
Title
Secretary
Phone
(213) 740-7922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1500 San Pablo St
Los Angeles, CA 90033-5313

Mailing address

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8677

Other names 1

  • Keck Hospital of USC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223001924 CA Part A Provider - Hospital 2567874217 Practice locations: Pasadena, CA; Los Angeles, CA; Beverly Hills, CA

Hospital certification: CCN 050696

Legal name
KECK MEDICAL CENTER OF USC
Doing business as
KECK HOSPITAL OF USC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 7, 1991
Last certification
Apr 7, 2023
Beds
285 (261 certified)
Ownership / control type
Other
Most recent change of ownership
Jan 1, 2021 (4 total)
Organization structure
CorporationNon-profit
Incorporated
Jun 24, 2020 in CA
Enrollment address
1500 San Pablo St
Los Angeles, CA 90033-5313
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Keck Hospital of UscCCN 050696
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Keck Medical Center of Usc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1000 S Fremont Ave
Unit 16
Alhambra, CA 91803

1516 San Pablo St
Los Angeles, CA 90033
Phone (323) 276-3705

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric J Strucko Individual Corporate OfficerTreasurer Jan 1, 2021
David H Peng Individual Corporate Director Jan 1, 2021
Stephanie L Hall Individual Corporate Director Jan 1, 2021
Vaughn Alden Starnes Individual Corporate Director Jan 1, 2021
Usc Health System Organization, Los Angeles, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
William Sargeant Individual Corporate OfficerCeo; President Oct 29, 2021
Corporate Director Oct 29, 2021
W-2 Managing EmployeeHospital Ceo Oct 29, 2021
Caryn Lerman Individual Corporate Director Jan 1, 2021
Mark Todd Individual Corporate Director Jan 1, 2021
Rodney B Hanners Individual Corporate Director Jan 1, 2021
James Staten Individual Corporate Director Jan 1, 2021
Mark J Cunningham Individual Corporate Director Jan 1, 2021
University of Southern California Organization, Los Angeles, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Jeannine Y Taylor Individual Corporate OfficerSecretary Jan 1, 2021
Narsing Adupa Rao Individual Corporate Director Jan 1, 2021
Michael E Gallagher Individual Corporate Director Jan 1, 2021
Steven J Siegel Individual Corporate Director Jan 1, 2021
Annette K Sy Individual Corporate Director Jan 1, 2021
W-2 Managing EmployeeHospital Cno Jan 1, 2021
Fred a Weaver Individual Corporate Director Jan 1, 2021
Tamara Capretta Individual Corporate Director Jan 1, 2021
Holly Ann Muir Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1,110

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1013514199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KECK MEDICAL CENTER OF USC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "213-740-7922"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keck Hospital of USC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.