Usc Verdugo Hills Hospital

Organization Active NPI General Acute Care Hospital · Glendale, CA

NPI 1033716147 · NPPES record last updated Oct 2, 2020

Key facts

NPI
1033716147
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
USC VERDUGO HILLS HOSPITAL
Practice address
1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone
(818) 790-7100
NPI assigned
Oct 2, 2020
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 10

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

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same 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.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 5

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

Affiliated clinicians 663

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

View all 663

Medicare Care Compare: Hospital

Listed as
Usc Verdugo Hills Hospital CCN 050124
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Hospital certification: CCN 050124

Legal name
USC VERDUGO HILLS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 18, 2021
Beds
158 (116 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2021 (3 total)
Organization structure
Corporation · Non-profit
Incorporated
Jun 24, 2020 in CA
Enrollment address
1812 Verdugo Blvd
Glendale, CA 91208-1407
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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
Happy Khanna
Individual
Corporate Director Jan 1, 2021
Joseph George Ouzounian
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%
Steven L Giannotta
Individual
Corporate Director Jan 1, 2021
Rodney B Hanners
Individual
Corporate Director Jan 1, 2021
Armand Hadjian Dorian
Individual
Corporate Officer Oct 6, 2021
Corporate Director Oct 6, 2021
W-2 Managing Employee
Hospital Ceo
Oct 6, 2021
Theresa Murphy
Individual
W-2 Managing Employee
Hospital Cno
Jan 1, 2021
Shawn T Sheffield
Individual
Corporate Director Jan 1, 2021
University of Southern California
Organization · Los Angeles, CA
Corporation, Non-profit
5% Or Greater Indirect Ownership Interest Jan 21, 2021 100%
Todd E Andrews
Individual
Corporate Director Jan 1, 2021
Jeannine Y Taylor
Individual
W-2 Managing Employee Mar 25, 2024
David L Sagal
Individual
Corporate Director Jan 1, 2021
Sunder Ramani
Individual
Corporate Director Jan 1, 2021
Hsiu-Tsing Liang
Individual
Corporate Officer Mar 25, 2024
Tamara Capretta
Individual
Corporate Director Jan 1, 2021
Alexandria M Darras
Individual
Corporate Director Jan 1, 2021
Inderbir Singh Gill
Individual
Corporate Director Mar 4, 2025
Tina M Ito
Individual
Corporate Director Jan 1, 2021
Carl Richard Chudnofsky
Individual
Corporate Director Jan 1, 2021
Steve Wilder
Individual
Corporate Director Jan 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201222002151 CA Part a Provider - Hospital 3779995451 Practice locations: Glendale, CA

National Provider Directory

Tax ID family
Usc Verdugo Hills Hospital (2 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

1812 Verdugo Blvd
Glendale, CA 91208-1407

Mailing address

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

Other providers in Glendale, CA

All providers in Glendale, CA · General Acute Care Hospital in California

Sources for this page

Verify at the official NPI Registry.