NPIMap

Organization Active NPI

County of Los Angeles

Doing business as Los Angeles County Olive View-UCLA Medical Center

  • Psychiatric Hospital Unit
  • Sylmar, CA
National Provider Identifier
1669496097
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
060000133 Issued in CA
Legal business name
COUNTY OF LOS ANGELES
Doing business as
Los Angeles County Olive View-UCLA Medical Center
Practice address
14445 Olive View Dr
Sylmar, CA 91342-1437
Phone
(818) 364-1555
NPI assigned
Jul 27, 2006
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LOS ANGELESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Ms. Carolyn Rhee
Title
Chief Executive Officer
Phone
(818) 364-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 060000133 CA Primary

Addresses

Primary practice location

14445 Olive View Dr
Sylmar, CA 91342-1437

Mailing address

14445 Olive View Dr
Sylmar, CA 91342-1437
Phone (818) 364-1555

Other names 1

  • Los Angeles County Olive View-UCLA Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121031000131 CA Part A Provider - Hospital 1052561925 Practice locations: Sylmar, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669496097. Details of each certification follow.

Hospital certification: CCN 05S040

Legal name
COUNTY OF LOS ANGELES
Doing business as
COUNTY OF LOS ANGELES-OLIVE VIEW-UCLA MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
14445 Olive View Dr
Sylmar, CA 91342-1437
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Hudson Health Center613 organizations share this tax ID, including this one
Part of
Hudson Health Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
County of Los Angeles Organization, Sylmar, CA 5% Or Greater Direct Ownership Interest Jul 12, 2010 100%
Konita L Wilks Individual Corporate DirectorChief Executive Officer Jan 1, 2022
W-2 Managing EmployeeChief Executive Officer Jan 1, 2022

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harbor UCLA Medical CenterTorrance, CA, CCN 050376 Hospital Other Jan 25, 1986
Harbor UCLA Medical CenterTorrance, CA, CCN 05S376 Hospital Other Jan 25, 1986

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1669496097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "818-364-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "818-364-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LOS ANGELES",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-364-3001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "060000133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles County Olive View-UCLA Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.