Organization Active NPI

East la Doctors Hospital LP

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1841477973
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHB463650MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
PartnershipProprietary
Incorporated
Jan 29, 1999 in TX
Enrollment address
4060 Whittier Blvd
Los Angeles, CA 90023-2526
Other Hospital Practice Location
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.

Care Compare: Hospital

Medicare Care Compare
Listed as
East Los Angeles Doctors HospitalCCN 050641 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Eladh LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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
Dkldoi DFP Opco II LLC Organization, New York, NY LLC, For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2023 32.97%
DK Ldoi IV Aggregate Holdco LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2023 32.97%
Davidson Kempner Long-Term Distressed Opportunities Fund IV L Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2023 16.93%
PHS Intermediate Holdings, LLC Organization, New York, NY LLC, Investment firm, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2023 49.9%
Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP Organization, New York, NY Investment firm, For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2023 32.97%
Avanti Hospitals LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 17, 2011 100%
Eladh Management LLC Organization, Los Angeles, CA LLC, For-profit General Partnership Interest Jan 29, 1999 99.5%
Avanti Hospital Holdings I LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 17, 2011 100%
Bryan D Burklow Individual Contracted Managing EmployeeCeo Dec 18, 2023
DFP Opco II LLC Organization, New York, NY LLC, For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2023 49.9%
Avanti Healthcare Holdings LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 17, 2011 100%
Healthplus Holdings LLC Organization, El Segundo, CA LLC, For-profit Limited Partnership Interest Dec 13, 2006 0.5%
Pipeline Health System Holdings, LLC Organization, El Segundo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 28, 2019 100%
Deerfield Private Design Fund IV, LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2023 49.9%
Brittany M Whitman Individual Corporate OfficerGeneral Counsel Feb 6, 2023
Robert L Allen Individual Corporate OfficerCeo Feb 6, 2023 0.2%
DFP Opco II BT LLC Organization, New York, NY LLC, For-profit, Private equity company, Owned by another organization or individual 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.

View all 72

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

Sources for this page

Verify at the official NPI Registry.