CPH Hospital Management LLC
Organization Active NPI General Acute Care Hospital · Norwalk, CA
NPI 1194016923 · NPPES record last updated Feb 28, 2014
Key facts
- NPI
- 1194016923
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- CPH HOSPITAL MANAGEMENT LLC
- Practice address
- 13100 Studebaker Rd
Norwalk, CA 90650-2531 - Phone
- (562) 868-3751
- NPI assigned
- Apr 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. James P. Macpherson
- Title
- Manager
- Phone
- (310) 356-0550
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Facilities with the same owner 11
Practitioners 1
Affiliated clinicians 88
-
Mary Gamil Absood, M.D.
-
Mona Alipour, M.D
-
Parvataneni Arun, M.D.
-
Kibrom Ghirmay Asrat, D.P.M
-
Mahua Biswas, MD
-
Walter Richard Bush Jr., M.D.
-
Thomas Calvert, M.D.
-
Arinder Singh Chadha, MD, MBA, FACP
-
Noel Chavez, P.A.
-
Oliver Lee Chiu, NP-C
-
Stevan Ray Clark, M.D.
-
Heena M Contractor, M.D.
-
Mohamed Ali El-Shahawy, M.D.
-
Behnam Faridian, MD
-
Hiruy Haile Gessesse, M.D.
-
Joel David Groden, M.D.
-
Ramon Arenas Guadiz, M.D.
Medicare Care Compare: Hospital
- Listed as
- Coast Plaza Hospital
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- LLC · Proprietary
- Incorporated
- Mar 31, 2011 in NV
- Enrollment address
- 13100 Studebaker Rd
Norwalk, CA 90650-2531 - Hospital subgroups
- General, Acute care, Psychiatric unit
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Dkldoi DFP Opco II LLC |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| DK Ldoi IV Aggregate Holdco LP |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| Davidson Kempner Long-Term Distressed Opportunities Fund IV L |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 16.93% |
| PHS Intermediate Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| Avanti Hospitals LLC |
5% Or Greater Direct Ownership Interest | Mar 29, 2011 | 100% |
| Avanti Hospital Holdings I LLC |
5% Or Greater Direct Ownership Interest | Mar 29, 2011 | 100% |
| DFP Opco II LLC |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Avanti Healthcare Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 29, 2011 | 100% |
| Patrick Rafferty |
Contracted Managing Employee |
Jan 28, 2019 | |
| Pipeline Health System Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Jan 28, 2019 | 100% |
| Deerfield Private Design Fund IV, LP |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Brittany M Whitman |
Corporate Officer |
Feb 6, 2023 | |
| Robert L Allen |
Corporate Officer |
Feb 6, 2023 | |
| DFP Opco II BT LLC |
5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 16.93% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110627000128 | CA | Part a Provider - Hospital | 0547448326 |
1 other NPI on this enrollment Practice locations: Norwalk, CA |
National Provider Directory
- Tax ID family
- CPH Hospital Management LLC
Locations
13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194016923 | Medicaid | CA |
Other names
- Coast Plaza Hospital
Other providers in Norwalk, CA
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Joseph Wolf Cota
- Catherine Cotta
- Counseling and Research Associates, Inc.
- CPH Hospital Management LLC
- CPH Hospital Properties, LLC
- Gary Maurice Creel
- Paul Smith Crismon
- Emily Cristerna Cristerna
All providers in Norwalk, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.