NPIMap

Organization Active NPI

Usc Arcadia Hospital

  • Rehabilitation Hospital Unit
  • Arcadia, CA
National Provider Identifier
1164410593
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
930000103 Issued in CA
Legal business name
USC ARCADIA HOSPITAL
Practice address
300 W Huntington Dr
Arcadia, CA 91007-3402
Phone
(626) 898-8000
Fax
(626) 898-8890
NPI assigned
Oct 10, 2005
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
USC ARCADIA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Ikenna Mmeje
Title
President, Ceo
Phone
(626) 574-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 930000103 CA Primary

Addresses

Primary practice location

300 W Huntington Dr
Arcadia, CA 91007-3402

Mailing address

300 W Huntington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000

Other names 1

  • Methodist Hospital of Southern California Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000594 CA Part A Provider - Hospital 5991895609 Practice locations: Arcadia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164410593. Details of each certification follow.

Hospital certification: CCN 05T238

Legal name
USC ARCADIA HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Aug 14, 1912 in CA
Enrollment address
300 W Huntington Dr
Arcadia, CA 91007-3402
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Short-term, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Methodist Hosp S CaliforniaCCN 05T238 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1985

National Provider Directory

National Provider Directory
Part of
Mthdist HSP Pul

Locations (25 of 36)

1505 S Baldwin Ave
#A
Arcadia, CA 91007
Phone (626) 446-1972

225 S 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 737-6200

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

301 W Huntington Dr
Arcadia, CA 91007
Phone (626) 218-9840

301 W Huntington Dr
Ste 212
Arcadia, CA 91007
Phone (626) 461-0360

301 W Huntington Dr
Ste 320
Arcadia, CA 91007
Phone (626) 446-3516

406 S 1st Ave
Arcadia, CA 91006
Phone (626) 445-9661

4153 E Live Oak Ave
Arcadia, CA 91006
Phone (626) 628-0808

450 E Huntington Dr
Arcadia, CA 91006
Phone (626) 254-2100

612 W Duarte Rd
Ste 203
Arcadia, CA 91007
Phone (626) 447-4342

612 W Duarte Rd
Ste 302
Arcadia, CA 91007
Phone (626) 446-4719

612 W Duarte Rd
Ste 502
Arcadia, CA 91007
Phone (626) 821-2076

612 W Duarte Rd
Ste 601
Arcadia, CA 91007
Phone (626) 445-2844

612 W Duarte Rd
Ste 804
Arcadia, CA 91007
Phone (626) 247-1192

622 W Duarte Rd
Ste 203
Arcadia, CA 91007
Phone (626) 445-8877

624 W Duarte Rd
Ste 102
Arcadia, CA 91007
Phone (626) 254-9540

624 W Duarte Rd
Ste 106
Arcadia, CA 91007
Phone (626) 447-4483

632 W Duarte Rd
Ste 170
Arcadia, CA 91007
Phone (626) 445-1278

638 W Duarte Rd
Ste 15
Arcadia, CA 91007
Phone (310) 309-9250

638 W Duarte Rd
Ste 3A
Arcadia, CA 91007
Phone (626) 282-6987

900 S 1st Ave
Arcadia, CA 91006

18605 Gale Ave
Ste 228B
City of Industry, CA 91748
Phone (626) 820-9528

315 N 3rd Ave
Ste 202
Covina, CA 91723
Phone (626) 859-2544

1036 Huntington Dr
Duarte, CA 91010
Phone (626) 462-2788

552 W Foothill Blvd
Ste 200
Glendora, CA 91741
Phone (626) 359-3330

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
William M Petmecky Individual Corporate Officer Jan 1, 2018 100%
Corporate Director Jan 1, 2016
Neil Tolaney Individual Corporate Director Jan 1, 2026
Linda Hattemer Individual W-2 Managing Employee Aug 1, 2025
Natalie Poole Individual Corporate Director Jan 1, 2018 100%
Usc Health System Organization, Los Angeles, CA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Mickey Segal Individual Corporate Director Jan 1, 2026
Elizabeth W Lee Individual Corporate Director Jan 1, 2024 100%
Rodney B Hanners Individual Corporate Director Jul 1, 2022 100%
Robert Shappley Individual Corporate Officer Aug 1, 2025
Ikenna Mmeje Individual Corporate OfficerPresident & Ceo Mar 13, 2023 100%
Corporate Director Mar 13, 2023 100%
W-2 Managing Employee Mar 13, 2023 100%
Kevin McFarlane Individual Corporate OfficerTreasurer Jan 1, 2016 100%
Corporate Director Jan 1, 2015 100%
Abelardo Nunez Individual Corporate Officer Aug 1, 2025
Douglas Vankirk Individual Corporate Director Jan 1, 2018 100%
George Blanco Individual Corporate Director Jan 1, 2015 100%
Jacqueline Campbell Individual Corporate Director Mar 30, 2023 100%
Michael Tsia Individual Corporate Director Jan 1, 2014 100%
Amelia Ross Individual Corporate Director Jul 1, 2022 100%
Stephen J Soldo Individual Corporate Director Jan 1, 2024 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 5

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

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 372

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 372

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1164410593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073402",
            "telephone_number": "626-898-8000",
            "fax_number": "626-898-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073402",
            "telephone_number": "626-898-8000",
            "fax_number": "626-898-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC ARCADIA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USC ARCADIA HOSPITAL",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "MMEJE",
        "authorized_official_first_name": "IKENNA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "626-574-3600"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "930000103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Hospital of Southern California",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.