University of Southern California

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

930000173 Issued in CA

Legal business name

UNIVERSITY OF SOUTHERN CALIFORNIA

Practice address

1812 Verdugo Blvd
Glendale, CA 91208-1409

Phone

(818) 790-7100

NPI assigned

Mar 20, 2015

Organization subpart

Yes

Parent organization

UNIVERSITY OF SOUTHERN CALIFORAs reported in NPPES

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

Authorized official

Name

Mr. Thomas E Jackiewicz

Title

SVP & Ceo, Keck Medicine of Usc

Phone

(323) 442-9775

Specialties & licenses 1

Addresses

Other names 1

• USC Verdugo Hills Hospital Doing business as

Part of

Oral Pathology Lab Usc

Locations

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1154715845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SAN PABLO ST",
            "address_2": "HCC 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 VERDUGO BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081409",
            "telephone_number": "818-790-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTHERN CALIFOR",
        "enumeration_date": "2015-03-20",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "JACKIEWICZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SVP & CEO, KECK MEDICINE OF USC",
        "authorized_official_telephone_number": "323-442-9775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC Verdugo Hills Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Acute Care Hospital in Glendale, CA
• Providers in Glendale, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.