NPIMap

Organization Active NPI

Tarzana Medical Center LLC

Doing business as Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
National Provider Identifier
1821250762
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
TARZANA MEDICAL CENTER LLC
Doing business as
Providence Cedars-Sinai Tarzana Medical Center
Practice address
18321 Clark St
Tarzana, CA 91356-3501
Phone
(310) 303-7496
Fax
(310) 303-7575
NPI assigned
Jul 1, 2008
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

18321 Clark St
Tarzana, CA 91356-3501

Mailing address

PO Box 31001-4097
Pasadena, CA 91110-4097
Phone (818) 881-0800

Other identifiers 1

IdentifierTypeStateIssuer
ZZZA1921AOtherCABLUE SHIELD

Other names 1

  • PROVIDENCE CEDARS-SINAI TARZANA 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
O20200108001092 CA Part A Provider - Hospital 7517392111 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821250762. Details of each certification follow.

Hospital certification: CCN 050761

Legal name
TARZANA MEDICAL CENTER, LLC
Doing business as
PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Sep 26, 2008
Last certification
Apr 4, 2023
Beds
245
Ownership / control type
Private (not for profit)
Most recent change of ownership
Dec 2, 2019 (1 total)
Organization structure
LLCNon-profit
Incorporated
Mar 12, 2019 in CA
Enrollment address
18321 Clark St
Tarzana, CA 91356-3501
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Providence Cedars Sinai Tarzana Medical CenterCCN 050761 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0559238Providence Cedars-Sinai Tarzana Medical18321 Clark St, Tarzana, CA 91356AccreditationFeb 27, 2027
05D0662271Providence Cedars Sinai18321 Clark St, Tarzana, CA 91356AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

5363 Balboa Blvd
Ste 227
Encino, CA 91316
Phone (818) 401-4173

18344 Clark St
Ste 101110
Tarzana, CA 91356
Phone (818) 881-9811

18411 Clark St
Ste 100
Tarzana, CA 91356
Phone (818) 798-6844

18411 Clark St
Ste 200
Tarzana, CA 91356
Phone (818) 705-3232

5411 Etiwanda Ave
Ste 100
Tarzana, CA 91356
Phone (818) 757-8839

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Cedars-Sinai Medical Center Organization, Los Angeles, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 12, 2019 49%
Prubjeet S Khurana Individual Corporate DirectorBoard of Managers Member Jan 26, 2023
Nicholas Lymberopoulos Individual Corporate OfficerChief Executive Mar 28, 2021
W-2 Managing EmployeeChief Executive Dec 2, 2019
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit Other May 12, 2019
David M Wrigley Individual Corporate DirectorBoard of Managers Member Jul 14, 2022
Gregory S Brewster Individual Corporate DirectorBoard of Managers Member Jul 15, 2025
Providence Health System Southern California Organization, Renton, WA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 12, 2019 51%
James Martin Individual Corporate OfficerAssistant Treasurer Nov 18, 2025
Bryan Croft Individual Corporate DirectorBoard of Managers Member Jun 2, 2023
Donald Wayne Anderson Individual Corporate OfficerAssistant Secretary of Enrollments Dec 2, 2019
Laureen T Driscoll Individual Corporate DirectorBoard of Managers Member Nov 21, 2023
Jessica Trimble Individual Corporate OfficerFinance Executive Aug 22, 2022
Providence Health & Services Organization, Renton, WA Corporation, Non-profit Other May 12, 2019
Cedars-Sinai Health System Organization, Los Angeles, CA Corporation, Non-profit Other May 12, 2019
Peter L Slavin Individual Corporate DirectorBoard of Managers Member Jan 1, 2025
Steven D Brass Individual Corporate OfficerCorporate Secretary Nov 18, 2025
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit Other May 12, 2019

Owners & managing parties with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 311

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.

View all 311

Affiliated clinicians 419

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 419

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1821250762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4097",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104097",
            "telephone_number": "818-881-0800",
            "fax_number": "818-708-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "310-303-7496",
            "fax_number": "310-303-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA1921A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.