Keck Medical Center of Usc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

KECK MEDICAL CENTER OF USC

Doing business as

Keck Hospital of USC

Practice address

1500 San Pablo St
Los Angeles, CA 90033-5313

Phone

(323) 442-8444

NPI assigned

Oct 2, 2020

Last updated

Apr 3, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

KECK MEDICAL CENTER OF USCAs reported in NPPES

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

Authorized official

Name

Jeannine Taylor

Title

Secretary

Phone

(213) 740-7922

Specialties & licenses 1

Addresses

Other names 1

• Keck Hospital of USC Doing business as

Part of

Keck Medical Center of Usc

Member of 1

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

• University of Southern California

  dba USC School of Dentistry

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1821168113

  Member Of

  NPD member

Locations

Practitioners 38

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.

• Karina Vanessa Acevedo, AGACNP-BC

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1205485646
  NPD (past)
• Aaron Joseph Ahearn, MD-PHD

  • Transplant Surgery Physician
  • Newport Beach, CA
  • NPI 1588839997
  NPD (past)
• Susan Choe, NP-C

  • Nurse Practitioner
  • Newport Beach, CA
  • NPI 1982368700
  NPD (past)
• Tiffany Naratip Law Chou, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1659982205
  NPD (past)
• Marcia Amelia Ciccone, MD

  • Obstetrics & Gynecology Physician
  • Glendale, CA
  • NPI 1154672152
  NPD (past)
• Ashley Lynn Cochran, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1053961938
  NPD (past)
• Bich Lieu Thi Duong, NP

  • Nurse Practitioner
  • Newport Beach, CA
  • NPI 1295275576
  NPD (past)
• Kambiz Etesami, M.D.

  • Transplant Surgery Physician
  • Los Angeles, CA
  • NPI 1629374020
  NPD (past)
• Sivagini Ganesh, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1487846887
  NPD (past)
• Lydia Jeanne Gomez, AGACNP

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1982240206
  NPD (past)
• Gisela Gonzalez, PA-C

  • Physician Assistant
  • Newport Beach, CA
  • NPI 1508365271
  NPD (past)
• Brenda Han, NP

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1760926059
  NPD (past)

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1750988770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-422-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KECK MEDICAL CENTER OF USC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KECK MEDICAL CENTER OF USC",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "213-740-7922"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keck Hospital of USC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahad Kebede, ACNP, FNP
• Gayane Maria Kechechyan
• Keck Medical Center
• Keck Medical Center of Usc (Keck Hospital of USC)
• Keck Medical Center of Usc (USC Kenneth Norris Jr. Hospital)
• Krystal Martin Keck
• Lisa B. Kederian, D.D.S.
• Paul A Kedeshian, MD
• Kedren Acute Psychiatric Hospital
• Kedren Community Care Clinic - Amity

• Rehabilitation Hospital Unit in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.