Organization Active NPI

University of Southern California

Doing business as Keck Hospital of USC

  • General Acute Care Hospital
  • Los Angeles, CA
National Provider Identifier
1902045131
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000459 Issued in CA
Legal business name
UNIVERSITY OF SOUTHERN CALIFORNIA
Doing business as
Keck Hospital of USC
Practice address
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone
(323) 442-8500
Fax
(323) 442-8672
NPI assigned
Feb 11, 2009
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Mr. Todd R. Dickey
Title
Senior Vice President Administratio
Phone
(213) 740-7922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000459 CA Primary

Addresses

Primary practice location

1500 San Pablo St
Los Angeles, CA 90033-5313

Mailing address

1500 San Pablo St
Attn: Jonathan J. Spees, Cfo
Los Angeles, CA 90033-5313
Phone (323) 442-8444

Other identifiers 1

IdentifierTypeStateIssuer
HSM30696GMedicaidCA

Other names 1

  • Keck Hospital of USC Doing business as

National Provider Directory

National Provider Directory

Locations

1500 San Pablo St
#J
Los Angeles, CA 90033

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1902045131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "address_2": "ATTN: JONATHAN J. SPEES, CFO",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8444",
            "fax_number": "323-442-5257"
        },
        {
            "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": "323-442-8500",
            "fax_number": "323-442-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT ADMINISTRATIO",
        "authorized_official_telephone_number": "213-740-7922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM30696G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keck Hospital of USC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2011; 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.