Active NPI
East la Doctors Hospital LP
- Skilled Nursing Facility
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EAST LA DOCTORS HOSPITAL LP
- Practice address
- 4060 Whittier Blvd
Los Angeles, CA 90023-2526 - Phone
- (323) 268-5514
- NPI assigned
- Jan 31, 2008
- Last updated
- Mar 26, 2009
- 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
- Araceli Lonergan
- Title
- Ceo
- Phone
- (323) 260-4126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
4060 Whittier Blvd
Los Angeles, CA 90023-2526
Mailing address
4060 Whittier Blvd
Los Angeles, CA 90023-2526
Phone (323) 268-5514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHB463650 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090330000486 | CA | Part A Provider - Hospital | 6608933064 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1841477973. Details of each certification follow.
Hospital certification: CCN 050641
- Legal name
- ELADH LP
- Doing business as
- EAST LOS ANGELES DOCTORS HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Sep 21, 1978
- Last certification
- Aug 26, 2021
- Beds
- 127 (102 certified)
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Sep 1, 1999 (1 total)
- Organization structure
- Partnership
- Incorporated
- Jan 29, 1999 in TX
- Enrollment address
- 4060 Whittier Blvd
Los Angeles, CA 90023-2526 - Hospital subgroups
- General, Acute care
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba East Los Angeles Doctors Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417957473
O20090330000486
-
dba East Los Angeles Doctors Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1720298326
O20090330000486
Care Compare: Hospital
Medicare Care Compare- Listed as
- East Los Angeles Doctors Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Eladh LP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba East Los Angeles Doctors Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417957473
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dkldoi DFP Opco II LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| DK Ldoi IV Aggregate Holdco LP | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| Davidson Kempner Long-Term Distressed Opportunities Fund IV L | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 16.93% |
| PHS Intermediate Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 32.97% |
| Avanti Hospitals LLC | 5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| Eladh Management LLC | General Partnership Interest | Jan 29, 1999 | 99.5% |
| Avanti Hospital Holdings I LLC | 5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| Bryan D Burklow | Contracted Managing Employee | Dec 18, 2023 | |
| DFP Opco II LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Avanti Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| Healthplus Holdings LLC | Limited Partnership Interest | Dec 13, 2006 | 0.5% |
| Pipeline Health System Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jan 28, 2019 | 100% |
| Deerfield Private Design Fund IV, LP | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 49.9% |
| Brittany M Whitman | Corporate Officer | Feb 6, 2023 | |
| Robert L Allen | Corporate Officer | Feb 6, 2023 | 0.2% |
| DFP Opco II BT LLC | 5% Or Greater Indirect Ownership Interest | Feb 6, 2023 | 16.93% |
Practitioners & affiliated clinicians
Affiliated clinicians 72
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Mission Hills, CA
- NPI 1588140008
-
- Internal Medicine Physician
- Corona, CA
- NPI 1124696331
Hospital
-
- Vascular & Interventional Radiology Physician
- Marina del Rey, CA
- NPI 1932153731
Hospital
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1598976680
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238025600000",
"number": "1841477973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232526",
"telephone_number": "323-268-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232526",
"telephone_number": "323-268-5514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST LA DOCTORS HOSPITAL LP",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2009-03-26",
"status": "A",
"authorized_official_last_name": "LONERGAN",
"authorized_official_first_name": "ARACELI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-260-4126"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHB463650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Ann Christine Easley, NP
- Gary Easley
- Lynn M. Easley, LCSW
- East Healthcare Center, LLC (Country Villa East Nursing Center)
- East la Dialysis Center
- East la Emergency Physicians, Inc.
- East la Paz Family Medical Clinic PA
- East la Paz Family Medical Clinic, PC
- East la Paz Medical Clinic (East Family Medical Clinic)
- East la Pharmacy Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.