Active NPI
Gardena Hospital LP
- General Acute Care Hospital
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 930000098
- Legal business name
- GARDENA HOSPITAL LP
- Practice address
- 1145 W Redondo Beach Blvd
Gardena, CA 90247-3528 - Phone
- (310) 512-6169
- NPI assigned
- Jul 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James P Macpherson
- Title
- Owner
- Phone
- (310) 356-0550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 930000098 | CA | Primary |
| Skilled Nursing Facility | 314000000X | 930000098 | CA |
Addresses
Primary practice location
1145 W Redondo Beach Blvd
Gardena, CA 90247-3528
Mailing address
222 N Sepulveda Blvd
Suite 950
El Segundo, CA 90245-5648
Phone (310) 356-0550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP30468J | Medicaid | CA | |
| PHB463690 | Medicaid | CA | |
| HSC30468J | Medicaid | CA | |
| HSP40468J | Medicaid | CA |
Other names 1
- Memorial Hospital of Gardena
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090407000034 | CA | Part A Provider - Hospital | 2769539840 | Practice locations: Gardena, CA |
Hospital certification: CCN 050468
- Legal name
- GARDENA HOSPITAL, L.P.
- Doing business as
- MEMORIAL HOSPITAL OF GARDENA
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Dec 8, 2021
- Beds
- 180
- Ownership / control type
- Private (for profit)
- Organization structure
- Partnership
- Incorporated
- Jan 29, 1999 in TX
- Enrollment address
- 1145 W Redondo Beach Blvd
Gardena, CA 90247-3511 - 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
- Memorial Hospital of Gardena
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Gardena Hospital LP
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Institutional Pharmacy
- Gardena, CA
- NPI 1669491700
-
- Skilled Nursing Facility
- Gardena, CA
- NPI 1669650792
Ownership & related parties
All disclosed owners & managing parties 19
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| JPM Property Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 5.38% |
| Dkldoi DFP Opco II LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| DK Ldoi IV Aggregate Holdco LP | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| Davidson Kempner Long-Term Distressed Opportunities Fund IV L | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 16.93% |
| PHS Intermediate Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| Avanti Hospitals LLC | 5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| Avanti Hospital Holdings I LLC | 5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| Gardena Hospital Management, LLC | General Partnership Interest | Jan 29, 1999 | |
| DFP Opco II LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Nlo Property Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 28, 2019 | 5.15% |
| Avanti Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| Healthplus Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 13, 2006 | 99.5% |
| Limited Partnership Interest | Dec 13, 2006 | 0.5% | |
| Victor a Carrasco | Contracted Managing Employee | May 1, 2023 | |
| Pipeline Health System Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jan 28, 2019 | 100% |
| Deerfield Private Design Fund IV, LP | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Brittany M Whitman | Corporate Officer | Feb 6, 2023 | |
| Robert L Allen | Corporate Officer | Feb 6, 2023 | |
| DFP Opco II BT LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 16.93% |
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Huntington Park, CA
- NPI 1891059127
Avanti Healthcare Holdings LLC, Avanti Hospital Holdings I LLC, Avanti Hospitals LLC, Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, Deerfield Private Design Fund IV, LP, DFP
-
- General Acute Care Hospital
- Norwalk, CA
- NPI 1194016923
Avanti Healthcare Holdings LLC, Avanti Hospital Holdings I LLC, Avanti Hospitals LLC, Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, Deerfield Private Design Fund IV, LP, DFP
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1720298326
Avanti Healthcare Holdings LLC, Avanti Hospital Holdings I LLC, Avanti Hospitals LLC, Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, Deerfield Private Design Fund IV, LP, DFP
-
- Skilled Nursing Facility
- Gardena, CA
- NPI 1811107410
Avanti Healthcare Holdings LLC, Avanti Hospital Holdings I LLC, Avanti Hospitals LLC, Deerfield Private Design Fund IV, LP, Healthplus Holdings LLC, JPM Property Holdings, LLC, Nlo Property Holdings LLC, Pipeline Health System Holdings, LLC
-
- General Acute Care Hospital
- Barstow, CA
- NPI 1780655670
Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP
-
- Rural Health Clinic/Center
- Lyman, WY
- NPI 1134666944
Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP
-
- Rural Health Clinic/Center
- Mountain View, WY
- NPI 1427595271
Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP
-
- General Acute Care Hospital
- Evanston, WY
- NPI 1639140015
Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP
-
- Psychiatric Hospital Unit
- Louisa, KY
- NPI 1356313407
Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP
-
- Medicare Defined Swing Bed Hospital Unit
- Jackson, KY
- NPI 1295985596
Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP
-
- Medicare Defined Swing Bed Hospital Unit
- Las Vegas, NM
- NPI 1598537862
Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Oceanside, CA
- NPI 1306890215
-
- Emergency Medicine Physician
- Gardena, CA
- NPI 1144753955
Affiliated clinicians 104
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Corona, CA
- NPI 1124696331
Hospital
-
- Critical Care Medicine (Internal Medicine) Physician
- Palm Springs, CA
- NPI 1174786594
Hospital
-
- Vascular & Interventional Radiology Physician
- Marina del Rey, CA
- NPI 1932153731
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393545600000",
"number": "1063412005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N SEPULVEDA BLVD",
"address_2": "SUITE 950",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455648",
"telephone_number": "310-356-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473528",
"telephone_number": "310-512-6169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDENA HOSPITAL LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2014-02-28",
"status": "A",
"authorized_official_last_name": "MACPHERSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-356-0550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "930000098",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "930000098",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP30468J",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHB463690",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC30468J",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40468J",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Hospital of Gardena",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.