Organization Active NPI

CPH Hospital Management LLC

Doing business as Coast Plaza Hospital

  • General Acute Care Hospital
  • Norwalk, CA
National Provider Identifier
1194016923
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CPH HOSPITAL MANAGEMENT LLC
Doing business as
Coast Plaza Hospital
Practice address
13100 Studebaker Rd
Norwalk, CA 90650-2531
Phone
(562) 868-3751
NPI assigned
Apr 27, 2011
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Mr. James P. Macpherson
Title
Manager
Phone
(310) 356-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

13100 Studebaker Rd
Norwalk, CA 90650-2531

Mailing address

222 N Sepulveda Blvd
Suite 950
El Segundo, CA 90245-5648
Phone (310) 356-0550

Other names 1

  • Coast Plaza Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110627000128 CA Part A Provider - Hospital 0547448326 1 other NPI on this enrollment
Practice locations: Norwalk, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194016923. Details of each certification follow.

Hospital certification: CCN 050771

Legal name
CPH HOSPITAL MANAGEMENT LLC
Doing business as
COAST PLAZA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 15, 2011
Last certification
Apr 6, 2023
Beds
117 (105 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 31, 2011 in NV
Enrollment address
13100 Studebaker Rd
Norwalk, CA 90650-2531
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric unit

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Coast Plaza HospitalCCN 050771 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
CPH Hospital Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Dkldoi DFP Opco II LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 32.97%
DK Ldoi IV Aggregate Holdco LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 32.97%
Davidson Kempner Long-Term Distressed Opportunities Fund IV L Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 16.93%
PHS Intermediate Holdings, LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 49.9%
Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 32.97%
Avanti Hospitals LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 29, 2011 100%
Avanti Hospital Holdings I LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 29, 2011 100%
DFP Opco II LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 49.9%
Avanti Healthcare Holdings LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 29, 2011 100%
Patrick Rafferty Individual Contracted Managing EmployeeCeo Jan 28, 2019
Pipeline Health System Holdings, LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 28, 2019 100%
Deerfield Private Design Fund IV, LP Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 49.9%
Brittany M Whitman Individual Corporate OfficerGeneral Counsel Feb 6, 2023
Robert L Allen Individual Corporate OfficerCeo Feb 6, 2023
DFP Opco II BT LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2023 16.93%

Facilities with the same owner 11

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 88

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

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1194016923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N SEPULVEDA BLVD",
            "address_2": "SUITE 950",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455648",
            "telephone_number": "310-356-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 STUDEBAKER RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502531",
            "telephone_number": "562-868-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPH HOSPITAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "MACPHERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-356-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Plaza Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.