NPIMap

Organization Active NPI

Childrens Hospital of Los Angeles

  • Children's Hospital
  • Los Angeles, CA
National Provider Identifier
1124073366
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
930000032 Issued in CA
Legal business name
CHILDRENS HOSPITAL OF LOS ANGELES
Practice address
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone
(323) 669-2202
Fax
(323) 668-7951
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Mr. Max Scott Lieberenz, CPA
Title
Sr.VP/Cfo
Phone
(323) 361-2235

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Ambulatory Surgical Clinic/Center 261QA1903X
Critical Access Hospital Clinic/Center 261QC0050X
Urgent Care Clinic/Center 261QU0200X
Children's Hospital 282NC2000X 930000032 CA Primary

Addresses

Primary practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Mailing address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 669-2202

Other identifiers 6

IdentifierTypeStateIssuer
1189050MedicaidNV
053302OtherCABLUE CROSS
HSC30123FMedicaidCA
681051OtherCACHAMPUS
ZZZH19032OtherCABLUE SHIELD
ZZT40123FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080418000220 CA Part A Provider - Hospital 4183641640 Practice locations: Los Angeles, CA

Hospital certification: CCN 053302

Legal name
CHILDRENS HOSPITAL LOS ANGELES
Doing business as
CHILDREN'S HOSPITAL LOS ANGELES
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Mar 1, 1984
Last certification
May 4, 2021
Beds
568 (302 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 4, 1901 in CA
Enrollment address
4650 Sunset Blvd
Los Angeles, CA 90027-0001
Other Hospital Practice Location
Hospital subgroups
Children’s, Psychiatric, Other

All disclosed owners & managing parties 3

Medicare enrollment files

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

NameRoleSinceShare
Paul Viviano Individual 5% Or Greater Direct Ownership InterestPresident Aug 24, 2015
OtherPresident, Chla Aug 24, 2015
Scott Lieberenz Individual Corporate OfficerCfo Jul 1, 2016
Serena Helen DO Individual Operational/Managerial ControlDirector, Contracting, Chla Mar 23, 2020

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital Phcy16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations (25 of 40)

29525 Canwood St
Ste 214
Agoura Hills, CA 91301
Phone (818) 706-1966

301 W Huntington Dr
Ste 415
Arcadia, CA 91007
Phone (626) 445-5552

468 E Santa Clara St
Arcadia, CA 91006
Phone (626) 795-7177

2200 W Magnolia Blvd
Burbank, CA 91506
Phone (818) 331-9107

2625 W Alameda Ave
Ste 306
Burbank, CA 91505
Phone (818) 843-4604

135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800

2110 E El Segundo Blvd
Ste 210
El Segundo, CA 90245
Phone (310) 784-8704

5353 Balboa Blvd
Ste 104
Encino, CA 91316
Phone (818) 789-7181

5353 Balboa Blvd
Ste 200
Encino, CA 91316
Phone (818) 461-9690

5363 Balboa Blvd
Ste 111
Encino, CA 91316

1500 E Chevy Chase Dr
Ste 250
Glendale, CA 91206
Phone (323) 361-2432

2101 Broadview Dr
Glendale, CA 91208
Phone (818) 357-2200

24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337

1300 N Vermont Ave
Ste 802A
Los Angeles, CA 90027
Phone (323) 660-6363

2100 W 3rd St
Ste 250
Los Angeles, CA 90057

1300 N Vermont Ave
Ste 901
Los Angeles, CA 90027
Phone (323) 228-4399

4650 W Sunset Blvd
#34
Los Angeles, CA 90027
Phone (323) 361-2461

4650 W Sunset Blvd
Ste 43
Los Angeles, CA 90027

4650 W Sunset Blvd
#51
Los Angeles, CA 90027
Phone (323) 361-2509

3250 Wilshire Blvd
Ste 201
Los Angeles, CA 90010
Phone (323) 361-6102

1520 San Pablo St
Lowr
Los Angeles, CA 90033
Phone (323) 442-7450

6450 W Sunset Blvd
Los Angeles, CA 90028
Phone (213) 444-7063

711 W College St
Ste 560
Los Angeles, CA 90012
Phone (213) 628-3592

8635 W 3rd St
Ste 1165W
Los Angeles, CA 90048
Phone (310) 423-5693

11600 Indian Hills Rd
Ste 103
Mission Hills, CA 91345
Phone (818) 838-4545

Other NPIs with the same Medicare PAC ID 2

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

Practitioners 775

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 775

Affiliated clinicians 71

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

View all 71

Care Compare: Hospital

Medicare Care Compare
Listed as
Children'S Hosp of Los AngelesCCN 053302
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1124073366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-669-2202",
            "fax_number": "323-668-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-669-2202",
            "fax_number": "323-668-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "LIEBERENZ",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SR.VP/CFO",
        "authorized_official_telephone_number": "323-361-2235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "930000032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189050",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "053302",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30123F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "681051",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH19032",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40123F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.