Active NPI
University of Southern California
Doing business as Keck Hospital of USC
- General Acute Care Hospital
- Los Angeles, CA
National Provider Identifier
1902045131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 930000459
- 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, 2011
- 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
- Mr. Todd R. Dickey
- Title
- Senior Vice President Administratio
- Phone
- (213) 740-7922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSM30696G | Medicaid | CA |
Other names 1
- Keck Hospital of USC
National Provider Directory
National Provider DirectoryLocations
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
- University of Southern California (USC Norris Cancer Hospital)
- University of Southern California (USC School of Dentistry)
- University of Southern California
- University of Southern California
- University of Southern California (Usc Reproductive Endocrine Laboratory)
- University of Southern California (Usc Immunohistochemistry Laboratory)
- University of Southern California (Keck Hospital of USC)
- University of Southern California (Usc Clinical Reference Laboratory)
- University of Southern California Medical Center
- University of Southern California Orthopaedic Surgery Associates, Inc
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.