Active NPI
L. a. Downtown Medical Center, LLC.
- General Acute Care Hospital
- Los Angeles, CA
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- Care Compare: Hospital
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- National Provider Directory
- Ownership & related parties
- Practitioners & affiliated clinicians
- NPI Registry JSON
- Other providers in Los Angeles, CA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- L. A. DOWNTOWN MEDICAL CENTER, LLC.
- Practice address
- 1711 W Temple St
Los Angeles, CA 90026-5421 - Phone
- (213) 989-6100
- NPI assigned
- Feb 9, 2018
- 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
- Miss Vicki P Rollins, RN
- Title
- Vice-President
- Phone
- (213) 989-6100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | |||
| General Acute Care Hospital | 282N00000X | CA | Primary |
Addresses
Primary practice location
1711 W Temple St
Los Angeles, CA 90026-5421
Mailing address
PO Box 5004
Glendora, CA 91740-0019
Phone (562) 426-6141
Other practice location 1
725 S Orange Ave
West Covina, CA 91790-2614
Phone (626) 338-8481
Other practice location 2
7500 Hellman Ave
Rosemead, CA 91770-2216
Phone (626) 288-1160
Other practice location 3
1711 W Temple St
Los Angeles, CA 90026-5421
Phone (213) 989-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190307003225 | CA | Part A Provider - Hospital | 7315286325 |
1 other NPI on this enrollment Practice locations: Los Angeles, CA; Rosemead, CA; West Covina, CA |
| O20240904001696 | CA | Part A Provider - Skilled Nursing Facility | 7315286325 | Practice locations: West Covina, CA |
Hospital certification: CCN 050763
- Legal name
- L A DOWNTOWN MEDICAL CENTER LLC
- Doing business as
- N/A
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Nov 25, 2008
- Last certification
- Sep 15, 2023
- Beds
- 187
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Mar 1, 2019 (1 total)
- Organization structure
- Corporation
- Incorporated
- Aug 28, 2017 in CA
- Enrollment address
- 1711 W Temple St
Los Angeles, CA 90026-5421 - Hospital subgroups
- General, Acute care
Skilled nursing facility certification: CCN 555649
- Legal name
- L A DOWNTOWN MEDICAL CENTER LLC
- Doing business as
- N/A
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 12, 1995
- Last certification
- Oct 18, 2024
- Beds
- 33
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 725 S Orange Ave
West Covina, CA 91790-2614 - Nursing home name
- WEST COVINA MEDICAL CENTER D/P SNF
- Affiliated entity
- ROLLINS-NELSON HEALTHCARE MANAGEMENT
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Hospital Unit
- Los Angeles, CA
- NPI 1982351565
O20190307003225
Care Compare: Hospital
Medicare Care Compare- Listed as
- L a Downtown Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- No
Care Compare: Nursing home
Medicare Care Compare- Listed as
- West Covina Medical Center D/P SNF
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 12, 1995
- Medicare certification status
- Active
- Certified beds
- 33
- Chain
- Rollins-Nelson Healthcare Management
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0642937 | La Downtown Medical Center - | Certificate of waiver | Jan 2, 2027 |
| 05D0963335 | La Downtown Medical Center Ingleside | Certificate of waiver | Aug 25, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- L a Downtown Medical Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Los Angeles, CA
- NPI 1982351565
Locations
748 E 9th St
Los Angeles, CA 90021
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ann Francisco | W-2 Managing Employee | Sep 6, 2022 | 50% |
| Operational/Managerial Control | Sep 6, 2022 | 50% | |
| Corporate Director | Mar 1, 2019 | ||
| Operational/Managerial Control | Mar 1, 2019 | ||
| Adp of the SNF | Mar 1, 2019 | ||
| Christopher Siregar | W-2 Managing Employee | Mar 1, 2025 | 50% |
| Operational/Managerial Control | Mar 1, 2025 | 50% | |
| Corporate Director | Mar 1, 2019 | ||
| Operational/Managerial Control | Mar 1, 2019 | ||
| Adp of the SNF | Mar 1, 2019 | ||
| William a Nelson | 5% Or Greater Direct Ownership Interest | Mar 4, 2019 | 50% |
| 5% Or Greater Security Interest | Mar 1, 2019 | 50% | |
| Corporate Officer | Mar 1, 2019 | 50% | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Operational/Managerial Control | Mar 1, 2019 | 50% | |
| Other | Mar 1, 2019 | 50% | |
| 5% Or Greater Direct Ownership Interest | Mar 5, 2019 | 50% | |
| Corporate Officer | Jan 1, 2023 | 50% | |
| Operational/Managerial Control | Mar 1, 2019 | ||
| Adp of the SNF | Mar 1, 2019 | ||
| Lakshman Makandura | Contracted Managing Employee | Jan 1, 2023 | |
| L a Downtown Medical Center LLC | 5% Or Greater Direct Ownership Interest | Mar 4, 2019 | 100% |
| Operational/Managerial Control | Mar 4, 2019 | 100% | |
| 5% Or Greater Direct Ownership Interest | Mar 1, 2019 | 100% | |
| Vicki P Rollins | 5% Or Greater Direct Ownership Interest | Mar 1, 2019 | 50% |
| Corporate Officer | Mar 1, 2019 | 50% | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Operational/Managerial Control | Mar 1, 2019 | 50% | |
| Other | Mar 1, 2019 | 50% | |
| 5% Or Greater Direct Ownership Interest | Aug 28, 2017 | 50% | |
| Corporate Officer | Aug 28, 2017 | 50% | |
| Operational/Managerial Control | Mar 1, 2019 | ||
| La Downtown Medical Center Property LLC | 5% Or Greater Mortgage Interest | Mar 4, 2019 | 100% |
| Farid Besharat | Corporate Director | Mar 15, 2022 | |
| Operational/Managerial Control | Mar 1, 2019 | ||
| Adp of the SNF | Mar 1, 2019 | ||
| West Covina Property Holding, LLC | 5% Or Greater Mortgage Interest | Mar 1, 2019 | 100% |
| Adp of the SNF | Mar 1, 2019 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1366548620
Adp of the SNF, Corporate Director, Operational/Managerial Control
-
- Internal Medicine Physician
- West Covina, CA
- NPI 1578614657
Contracted Managing Employee
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital Unit
- Los Angeles, CA
- NPI 1982351565
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 95
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1689225427
Hospital
-
- Psychiatric/Mental Health Nurse Practitioner
- Culver City, CA
- NPI 1790558187
Hospital
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Van Nuys, CA
- NPI 1104859164
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1780183335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5004",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917400019",
"telephone_number": "562-426-6141",
"fax_number": "562-426-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900265421",
"telephone_number": "213-989-6100"
}
],
"practiceLocations": [
{
"address_1": "725 S Orange Ave",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917902614",
"country_code": "US",
"telephone_number": "626-338-8481",
"fax_number": "626-960-9178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7500 Hellman Ave",
"address_purpose": "LOCATION",
"city": "Rosemead",
"state": "CA",
"postal_code": "917702216",
"country_code": "US",
"telephone_number": "626-288-1160",
"fax_number": "213-484-3552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 W Temple St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900265421",
"country_code": "US",
"telephone_number": "213-989-6100",
"fax_number": "213-484-3552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "L. A. DOWNTOWN MEDICAL CENTER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-09",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "ROLLINS",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "213-989-6100",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.