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
Last updated
Mar 18, 2025By the provider in NPPES
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

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124073366. Details of each certification follow.

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Children's Hosp of Los AngelesCCN 053302 · All quality measures
Type
Childrens
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
Child Hosp of la16 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

972 Goodrich Blvd
Commerce, CA 90022
Phone (323) 622-2449

10601 Walker St
Ste 150
Cypress, CA 90630
Phone (714) 656-2130

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

5363 Balboa Blvd
Ste 111
Encino, CA 91316

5400 Balboa Blvd
Ste 329
Encino, CA 91316
Phone (818) 907-7076

1900 E Slauson Ave
Huntington Park, CA 90255
Phone (323) 240-8919

2100 W 3rd St
Ste 200
Los Angeles, CA 90057
Phone (213) 413-8742

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

4560 W Sunset Blvd
Los Angeles, CA 90027

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

4650 W Sunset Blvd
Ste 43
Los Angeles, CA 90027

8723 Alden Dr
Ste 240
Los Angeles, CA 90048
Phone (310) 423-2331

65 N Madison Ave
Ste 701
Pasadena, CA 91101
Phone (626) 787-1060

1636 Aviation Blvd
#202
Redondo Beach, CA 90278
Phone (310) 374-2727

1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (310) 319-4000

18555 Ventura Blvd
Ste B
Tarzana, CA 91356
Phone (310) 849-4400

23823 Valencia Blvd
Ste 120
Valencia, CA 91355
Phone (661) 253-4971

3160 Loma Vista Rd
Ventura, CA 93003

12550 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 381-7703

8700 Beverly Blvd
Ste 4221
West Hollywood, CA 90048
Phone (310) 423-4451

Ownership & related parties

All disclosed owners & managing parties 3

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

Practitioners & affiliated clinicians

Practitioners 775

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 775

Affiliated clinicians 71

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

View all 71

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.