Active NPI
Children's Hospital Los Angeles Medical Group, Inc.
- Multi-Specialty Clinic/Center
- Los Angeles, CA
National Provider Identifier
1265530653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.
- Practice address
- 4650 Sunset Blvd
Los Angeles, CA 90027 - Phone
- (323) 361-2337
- Fax
- (323) 361-8491
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kitty Wan
- Title
- Chief Financial Officer
- Phone
- (323) 361-1601
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary | |
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
4650 Sunset Blvd
Los Angeles, CA 90027
Mailing address
3250 Wilshire Blvd Ste 1101
Los Angeles, CA 90010-1513
Phone (323) 361-2337
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0066671 | Other | CA | MEDICAID & CALOPTIMA GROU |
| GR0066677 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR0066676 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR006667C | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR0066670 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR0066675 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR0066673 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR006667E | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR006667G | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR0066672 | Other | CA | MEDICAID & CALOPTIMA GROU |
| GR0066674 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR006667D | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR006667F | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR0066675 | Medicaid | CA | |
| GR0066678 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR0066679 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR006667B | Other | CA | MEDICAID AND CALOPTIMA GR |
| G9087701 | Other | CA | MEDICAID AND CALOPTIMA GR |
| GR006667A | Other | CA | MEDICAID AND CALOPTIMA GR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1316241102
Member Of
Practitioners & affiliated clinicians
Practitioners 1,357
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.
-
- Pediatric Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1700012317
-
- Neurology with Special Qualifications in Child Neurology Physician
- Los Angeles, CA
- NPI 1831392885
Pediatrics
-
- Pediatric Gastroenterology Physician
- Los Angeles, CA
- NPI 1225433493
-
- Pediatric Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1164690988
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1124647334
-
- Pediatric Cardiology Physician
- Los Angeles, CA
- NPI 1922190693
-
- Pediatric Anesthesiology Physician
- Los Angeles, CA
- NPI 1326130568
-
- Pediatric Critical Care Medicine Physician
- Los Angeles, CA
- NPI 1477979821
-
- Pediatric Adolescent Medicine Physician
- Los Angeles, CA
- NPI 1013009778
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1588958748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1265530653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 WILSHIRE BLVD STE 1101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101513",
"telephone_number": "323-361-2337",
"fax_number": "323-361-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-361-2337",
"fax_number": "323-361-8491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "WAN",
"authorized_official_first_name": "KITTY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "323-361-1601"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID & CALOPTIMA GROU",
"identifier": "GR0066671",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066677",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066676",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR006667C",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066670",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066675",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066673",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR006667E",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR006667G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID & CALOPTIMA GROU",
"identifier": "GR0066672",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066674",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR006667D",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR006667F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0066675",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066678",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR0066679",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR006667B",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "G9087701",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND CALOPTIMA GR",
"identifier": "GR006667A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Children's Hospital Los Angeles Medical Group
- Children's Hospital Los Angeles Medical Group
- Children's Hospital Los Angeles Medical Group
- Children's Hospital Los Angeles Medical Group
- Children's Hospital Los Angeles Medical Group, Inc.
- Children's Hospital Los Angeles Medical Group, Inc.
- Children's Hospital Los Angeles Medical Group, Inc.
- Children's Hospital Los Angeles Medical Group, Inc.
- Children's Hospital Los Angeles Mental Health (Children's Hospital LA- QueensCare Health and Faith Partnership)
- Children's Hospital Los Angeles Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.