NPIMap

Organization Active NPI

Usc Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
National Provider Identifier
1033716147
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 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
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

1812 Verdugo Blvd
Glendale, CA 91208-1407

Mailing address

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033716147. Details of each certification follow.

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
CorporationNon-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

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

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
Usc Verdugo Hills HospitalCCN 050124 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Usc Verdugo Hills Hospital2 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.

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
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 EmployeeHospital Ceo Oct 6, 2021
Theresa Murphy Individual W-2 Managing EmployeeHospital 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

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 663

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

View all 663

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": "1601596800000",
    "number": "1033716147",
    "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": "1812 VERDUGO BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081407",
            "telephone_number": "818-790-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC VERDUGO HILLS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "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": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.