NPIMap

Organization Active NPI

Dignity Community Care

Doing business as California Hospital Medical Center - Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
National Provider Identifier
1114081056
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000024 Issued in CA
Legal business name
DIGNITY COMMUNITY CARE
Doing business as
California Hospital Medical Center - Los Angeles
Practice address
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone
(213) 742-5910
Fax
(213) 765-4078
NPI assigned
Dec 21, 2006
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY COMMUNITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Rebecca Cheng
Title
Chief Financial Officer
Phone
(213) 742-5898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000024 CA Primary
Skilled Nursing Facility 314000000X 930000024 CA

Addresses

Primary practice location

1401 S Grand Ave
Los Angeles, CA 90015-3010

Mailing address

3215 Prospect Park Dr
Rancho Cordova, CA 95670-6017
Phone (916) 861-1102

Other identifiers 12

IdentifierTypeStateIssuer
ZZT40149IMedicaidCA
0010485OtherCAAETNA
954310407900150000OtherCAWPS TRICARE
ZZT30149IMedicaidCA
ZZZA2015ZOtherCABLUE SHIELD
CGP156703OtherCADHS
954310407OtherCAIRS
ZZT05066IMedicaidCA
050149B000000OtherCACMS SECTION 1011
CMCOtherCAUNIVERSAL
HSC30149IMedicaidCA
HSC30149HMedicaidCA

Other names 1

  • California Hospital Medical Center - Los Angeles Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190323000150 CA Part A Provider - Hospital 9032458013 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114081056. Details of each certification follow.

Hospital certification: CCN 050149

Legal name
DIGNITY COMMUNITY CARE
Doing business as
CALIFORNIA HOSPITAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 14, 2023
Beds
309 (290 certified)
Ownership / control type
Other
Most recent change of ownership
Feb 1, 2019 (5 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 10, 2017 in CO
Enrollment address
1401 S Grand Ave
Los Angeles, CA 90015-3010
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Hospital

Medicare Care Compare
Listed as
California Hospital Medical Center laCCN 050149 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mercy Family Health Center14 organizations share this tax ID, including this one
Part of
Mercy Family Health Center

Other organizations with this tax ID 13

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

View all 13

Member of 1

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

Locations (25 of 28)

1027 E Main St
Alhambra, CA 91801
Phone (626) 280-0676

1736 W Medical Center Dr
Ste B
Anaheim, CA 92801
Phone (714) 520-0809

289 W Huntington Dr
Ste 206
Arcadia, CA 91007
Phone (626) 282-1600

2211 W Magnolia Blvd
Burbank, CA 91506
Phone (213) 977-1176

16661 Ventura Blvd
Ph 900
Encino, CA 91436
Phone (818) 578-7408

1510 S Central Ave
Ste 100
Glendale, CA 91204
Phone (213) 483-2416

210 S Grand Ave
Ste 106
Glendora, CA 91741
Phone (626) 335-0535

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1125 S Beverly Dr
Ste 425
Los Angeles, CA 90035
Phone (310) 274-7300

1127 Wilshire Blvd
Ste 1509
Los Angeles, CA 90017
Phone (213) 482-8600

1127 Wilshire Blvd
Ste 900
Los Angeles, CA 90017
Phone (213) 481-3948

1245 Wilshire Blvd
Ste 514
Los Angeles, CA 90017
Phone (213) 482-5141

1400 S Grand Ave
Ste 605
Los Angeles, CA 90015
Phone (213) 742-0910

1513 S Grand Ave
Ste 300
Los Angeles, CA 90015
Phone (213) 246-2422

1513 S Grand Ave
Ste 310
Los Angeles, CA 90015
Phone (213) 745-4060

1835 S La Cienega Blvd
Ste 205
Los Angeles, CA 90035
Phone (213) 383-3600

1950 Sawtelle Blvd
Ste 130
Los Angeles, CA 90025
Phone (310) 996-9355

1990 Westwood Blvd
Ste 238
Los Angeles, CA 90025
Phone (310) 393-7147

231 W Vernon Ave
Ste 109
Los Angeles, CA 90037
Phone (323) 231-7445

231 W Vernon Ave
Ste 202
Los Angeles, CA 90037
Phone (323) 233-4552

3323 W Olympic Blvd
Ste 210
Los Angeles, CA 90019
Phone (323) 733-0127

5564 N Figueroa St
Los Angeles, CA 90042
Phone (323) 256-3884

13676 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 897-3991

1330 W Covina Blvd
San Dimas, CA 91773
Phone (800) 400-2873

207 S Santa Anita St
Ste 205
San Gabriel, CA 91776
Phone (626) 576-0800

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Lisa Haubert Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Gudata S Hinika Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019 100%
Emily E. Ryan Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Phillip Hill Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Dignity Health Organization, San Francisco, CA Corporation, Non-profit, Chain home office Operational/Managerial Control Feb 1, 2019 50%
Terika Richardson Mbanu Individual Corporate OfficerChair, President Jan 5, 2024
Corporate DirectorChair, President Jan 5, 2024
Christina M McAlpin Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Mitch Melfi Individual Corporate OfficerVice Chair and Secretary Jan 1, 2021
Corporate DirectorVice Chair and Secretary Jan 1, 2021
Jill Welton Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Petar Vukasin Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Auburn Kiess Daily Individual Corporate OfficerSecretary Oct 1, 2025
Carl Povilaitis Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Daren Marc Schlecter Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Steven W Scharmann Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
W-2 Managing EmployeeSystem Vice President Revenue Cycle Feb 1, 2019
Operational/Managerial ControlSystem Vice President Revenue Cycle Feb 1, 2019
Uthaiah Kokkalera Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Gloria Willingham Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Carolyn Caldwell Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
John E Petersdorf Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
W-2 Managing EmployeeSys SVP Operational Finance Feb 1, 2019
Operational/Managerial ControlSys SVP Operational Finance Feb 1, 2019
Shaghayegh H Haghighat Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Elizabeth Hart Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Jonathan Timmis Individual Corporate DirectorBoard Member Jul 1, 2024
Michelle Johnson Tidjani Individual Corporate DirectorBoard Member Jan 5, 2024
Dignity Community Care Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019 100%
Sarah Scher Individual Corporate DirectorAdvisory Board Member Oct 1, 2025

Owners & managing parties with NPI records 15

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

View all 15

All facility ownership & control disclosures 32

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Yavapai Regional Medical CenterPrescott, AZ, CCN 030012 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
Bakersfield Memorial HospitalBakersfield, CA, CCN 050036 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
UCSF Health Community HospitalsSan Francisco, CA, CCN 050152 Hospital Operational/Managerial Control Feb 1, 2019
Mark Twain Medical CenterSan Andreas, CA, CCN 051332 Hospital Other (99%) May 31, 2019
Community Hospital of San BernardinoSan Bernardino, CA, CCN 050089 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
San Bernardino Community HospitalSan Bernardino, CA, CCN 05S089 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Dignity Health Arizona General HospitalLaveen, AZ, CCN 030136 Hospital 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Dignity Health Arizona General HospitalMesa, AZ, CCN 030139 Hospital 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Mark Twain Medical CenterSan Andreas, CA, CCN 05Z332 Hospital 5% Or Greater Indirect Ownership Interest (99%)
Other (99%)		 Feb 1, 2019
May 31, 2019
Woodland Memorial HospitalWoodland, CA, CCN 05S127 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
French Hospital Medical CenterSan Luis Obispo, CA, CCN 050232 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 050058 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 1, 2019
Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05T058 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05S058 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Chandler Regional Medical CenterChandler, AZ, CCN 030036 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2019
Feb 1, 2019
Sequoia HospitalRedwood City, CA, CCN 050197 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 050116 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 05T116 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 05S116 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Methodist Hospital of SacramentoSacramento, CA, CCN 050590 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2019
Feb 1, 2019
Woodland Memorial HospitalWoodland, CA, CCN 050127 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2019
Feb 1, 2019
Community Hospital of San BernardinoSan Bernardino, CA, CCN 555522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Community Convalescent Center of San BernardinoSan Bernardino, CA, CCN 056107 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Methodist Hospital of Sacramento - Bruceville TerraceSacramento, CA, CCN 555344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2019
Feb 1, 2019
Pathways Home Health and HospiceSunnyvale, CA, CCN 057190 Home health agency Operational/Managerial Control (50%) Apr 1, 1986
Woodland Healthcare Home HealthWoodland, CA, CCN 057274 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Commonspirit Health at HomeSunnyvale, CA, CCN 051580 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986
Commonspirit Health at HomeOakland, CA, CCN 051506 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986
Family Medical Center - San AndreasSan Andreas, CA, CCN 058940 Rural health clinic 5% Or Greater Indirect Ownership Interest (99%) Feb 1, 2019
James Dalton Medical OfficeAngels Camp, CA, CCN 058574 Rural health clinic 5% Or Greater Indirect Ownership Interest (99%)
Other		 Feb 1, 2019
May 31, 2019
Family Medical Center - ArnoldArnold, CA, CCN 058573 Rural health clinic 5% Or Greater Indirect Ownership Interest (99%)
Operational/Managerial Control (99%)		 Feb 1, 2019
Feb 1, 2019
Family Medical Center-CopperopolisCopperopolis, CA, CCN 058548 Rural health clinic Other May 31, 2019

Owned or controlled facilities with NPI records 42

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 42

Facilities with the same owner 70

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

View all 70

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 186

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 186

Affiliated clinicians 197

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

View all 197

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1114081056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 PROSPECT PARK DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706017",
            "telephone_number": "916-861-1102",
            "fax_number": "916-861-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153010",
            "telephone_number": "213-742-5910",
            "fax_number": "213-765-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY COMMUNITY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY COMMUNITY CARE",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "213-742-5898"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000024",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "930000024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40149I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0010485",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "954310407900150000",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30149I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA2015Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS",
            "identifier": "CGP156703",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "954310407",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05066I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS SECTION 1011",
            "identifier": "050149B000000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "CMC",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30149I",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30149H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Hospital Medical Center - Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Hospital Medical Center - Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.