Organization Active NPI

Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1215379102
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
Legal business name
SHRINERS HOSPITALS FOR CHILDREN
Practice address
3160 Geneva St
Los Angeles, CA 90020-1117
Phone
(213) 348-3350
Fax
(213) 639-3451
NPI assigned
Jul 22, 2013
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Lou Lazatin
Title
Hospital Administrator
Phone
(213) 388-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XP3100X Primary

Addresses

Primary practice location

3160 Geneva St
Los Angeles, CA 90020-1117

Mailing address

PO Box 8500
#7642
Philadelphia, PA 19178-7642
Phone (213) 368-3350

Other names 1

  • Shriners Hospitals for Children (Professional Services) Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131115001486 CA Part B Supplier - Clinic/Group Practice 9133031933 Receives reassigned benefits from 35 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasadena, CA

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1215379102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "#7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "213-368-3350",
            "fax_number": "213-639-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 GENEVA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201117",
            "telephone_number": "213-348-3350",
            "fax_number": "213-639-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "LAZATIN",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "213-388-3350"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shriners Hospitals for Children (Professional Services)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.