Organization Active NPI

Ronald McDonald House Charities of Southern California

  • Lodging Provider
  • Los Angeles, CA
National Provider Identifier
1154210359
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN CALIFORNIA
Practice address
4560 Fountain Ave
Los Angeles, CA 90029-1913
Phone
(805) 368-0294
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Vicki Holloway
Title
Chief Operating Officer
Phone
(323) 644-3094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

4560 Fountain Ave
Los Angeles, CA 90029-1913

Mailing address

4560 Fountain Ave
Los Angeles, CA 90029-1913
Phone (805) 368-0294

National Provider Directory

National Provider Directory

Locations

4560 Fountain Ave
Los Angeles, CA 90029
Phone (805) 368-0294

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1154210359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291913",
            "telephone_number": "805-368-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291913",
            "telephone_number": "805-368-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "323-644-3094"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.