Active NPI
Alta Los Angeles Hospitals, Inc.
Doing business as Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower
- General Acute Care Hospital
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 930000039
- Legal business name
- ALTA LOS ANGELES HOSPITALS, INC.
- Doing business as
- Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower
- Practice address
- 4081 E Olympic Blvd
Los Angeles, CA 90023-3330 - Phone
- (323) 267-0477
- Fax
- (323) 261-0809
- NPI assigned
- May 24, 2005
- Last updated
- Feb 4, 2021
- Organization subpart
- Yes
- Parent organization
- ALTA HOSPITALS SYSTEM, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Jon Elders
- Title
- Secretary
- Phone
- (714) 788-1249
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 930000039 | CA | |
| General Acute Care Hospital | 282N00000X | 930000039 | CA | Primary |
| Skilled Nursing Facility | 314000000X | 930000039 | CA |
Addresses
Primary practice location
4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Mailing address
4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Phone (323) 267-0477
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZD1917Z | Other | CA | BLUE SHEILD |
| HSP30663F | Medicaid | CA | |
| HSP40663F | Medicaid | CA | |
| HSC30663F | Medicaid | CA | |
| ZZZC8919Z | Other | CA | BLUE SHIELD |
| LTC70086F | Medicaid | CA |
Other names 1
- Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041005000827 | CA | Part A Provider - Hospital | 0547229650 |
1 other NPI on this enrollment Practice locations: Bellflower, CA; Los Angeles, CA; Norwalk, CA |
| O20071213000618 | CA | Part A Provider - Skilled Nursing Facility | 0547229650 | Practice locations: Los Angeles, CA |
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1922001809. Details of each certification follow.
Hospital certification: CCN 050663
- Legal name
- ALTA LOS ANGELES HOSPITALS, INC.
- Doing business as
- LOS ANGELES COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 19, 1983
- Last certification
- Dec 23, 2022
- Beds
- 180 (150 certified)
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Oct 1, 1998 (1 total)
- Organization structure
- Corporation
- Incorporated
- Jun 10, 1998 in CA
- Enrollment address
- 4081 E Olympic Blvd
Los Angeles, CA 90023-3330 - Hospital subgroups
- Acute care
Skilled nursing facility certification: CCN 555638
- Legal name
- ALTA LOS ANGELES HOSPITALS, INC.
- Doing business as
- LOS ANGELES COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 9, 1995
- Last certification
- Nov 24, 2024
- Beds
- 39
- Ownership / control type
- Corporation
- Multi-facility organization
- Prospect Medical Holdings
- Organization structure
- Corporation
- Incorporated
- Jun 10, 1998 in CA
- Enrollment address
- 4081 E Olympic Blvd
Los Angeles, CA 90023-3330 - Nursing home name
- LOS ANGELES COMM HOSPITAL
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Los Angeles Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
O20041005000827
Care Compare: Hospital
Medicare Care Compare- Listed as
- Los Angeles Community Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Los Angeles Comm Hospital
- Overall star rating
- Health inspections
- Staffing
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 9, 1995
- Medicare certification status
- Active
- Certified beds
- 39
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Alta Los Angeles Hospitals Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Los Angeles Community Hospital at Bellflower
- Psychiatric Hospital Unit
- Bellflower, CA
- NPI 1811318702
Locations
2888 Long Beach Blvd
Ste 215
Long Beach, CA 90806
Phone (562) 290-8115
126 S Montebello Blvd
Montebello, CA 90640
Phone (213) 726-0454
Ownership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| Sang Bum Lee | 5% Or Greater Indirect Ownership Interest | Aug 8, 2012 | 66.67% |
| Corporate Officer | Aug 8, 2007 | ||
| Corporate Director | Aug 8, 2008 | ||
| 5% Or Greater Indirect Ownership Interest | Aug 8, 2007 | 66.67% | |
| Corporate Officer | Aug 8, 2007 | ||
| Corporate Director | Aug 8, 2007 | ||
| Robert Elders | Corporate Officer | Jun 15, 2020 | |
| JP Morgan Chase, N.a. | 5% Or Greater Security Interest | Jun 30, 2016 | 100% |
| MPT of Los Angeles PMH, L.P. | 5% Or Greater Indirect Ownership Interest | Aug 23, 2019 | 100% |
| 5% Or Greater Indirect Ownership Interest | Aug 23, 2019 | ||
| Eric Samuels | Corporate Officer | Jun 3, 2019 | |
| Carmelo a James | W-2 Managing Employee | Sep 15, 2016 | |
| W-2 Managing Employee | Sep 15, 2016 | ||
| Ivy Intermediate Holding Inc | 5% Or Greater Indirect Ownership Interest | Dec 15, 2010 | 100% |
| Alfredo Sabillo | Corporate Officer | Jul 21, 2020 | |
| Mark Johnson | Corporate Officer | Jul 27, 2020 | |
| Ivy Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 15, 2010 | 100% |
| William M Gorenstein | Corporate Officer | Aug 15, 2016 | |
| Alta Hospitals System LLC | 5% Or Greater Direct Ownership Interest | Jun 5, 2007 | 100% |
| Hector G Hernandez | W-2 Managing Employee | May 23, 2016 | |
| David & Alexa Topper Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 15, 2012 | 33.33% |
| 5% Or Greater Indirect Ownership Interest | Dec 15, 2010 | 33.33% | |
| MPT of Norwalk PMH, L.P. | 5% Or Greater Indirect Ownership Interest | Aug 23, 2019 | 100% |
| MPT of Bellflower PMH, L.P. | 5% Or Greater Indirect Ownership Interest | Aug 23, 2019 | 100% |
| David R Topper | Corporate Officer | Aug 8, 2007 | |
| Corporate Director | Aug 8, 2007 | ||
| Other | Dec 15, 2010 | ||
| Corporate Officer | Aug 8, 2007 | ||
| Corporate Director | Nov 14, 2007 | ||
| Chamber Inc | 5% Or Greater Indirect Ownership Interest | Jun 1, 2021 | 100% |
| Prospect Medical Holdings Inc | 5% Or Greater Indirect Ownership Interest | Aug 8, 2007 | 100% |
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Foothill Regional Medical Center
- Pediatric Skilled Nursing Facility
- Tustin, CA
- NPI 1689096406
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
Alta Hospitals System LLC, Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Southern California Hospital at Culver City
- Rehabilitation Hospital Unit
- Culver City, CA
- NPI 1861744138
Alta Hospitals System LLC, Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Southern California Hospital at Culver City
- Skilled Nursing Facility
- Culver City, CA
- NPI 1922350206
Alta Hospitals System LLC, Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
- Home Health Agency
- Providence, RI
- NPI 1811402100
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Roger Williams Medical Center
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba Roger Williams Medical Center
- Psychiatric Hospital Unit
- Providence, RI
- NPI 1477978476
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba Southern New England Rehabilitation Center
- Rehabilitation Hospital Unit
- North Providence, RI
- NPI 1205251204
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba St. Joseph Health Center
- Psychiatric Hospital Unit
- North Providence, RI
- NPI 1396160396
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba VNA Health at Home
- Home Health Agency
- Watertown, CT
- NPI 1265880413
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1063615102
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1215957451
-
- Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1942434212
-
- Internal Medicine Physician
- Norwalk, CA
- NPI 1770526477
-
- General Practice Physician
- Los Angeles, CA
- NPI 1023161684
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1518072123
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1174542716
-
- Nephrology Physician
- Long Beach, CA
- NPI 1710140561
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1538453634
-
- Hematology & Oncology Physician
- Pasadena, CA
- NPI 1609022383
-
- Gastroenterology Physician
- Huntington Park, CA
- NPI 1467466243
-
- Urology Physician
- Montebello, CA
- NPI 1740339894
Affiliated clinicians 148
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Mission Hills, CA
- NPI 1588140008
-
- Internal Medicine Physician
- San Jacinto, CA
- NPI 1821036229
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612396800000",
"number": "1922001809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4081 E OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900233330",
"telephone_number": "323-267-0477",
"fax_number": "323-261-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4081 E OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900233330",
"telephone_number": "323-267-0477",
"fax_number": "323-261-0809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTA LOS ANGELES HOSPITALS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALTA HOSPITALS SYSTEM, LLC",
"enumeration_date": "2005-05-24",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A",
"authorized_official_last_name": "ELDERS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "714-788-1249"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "CA",
"license": "930000039",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "930000039",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "930000039",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD",
"identifier": "ZZZD1917Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP30663F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40663F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC30663F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZC8919Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC70086F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower",
"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 Feb 4, 2021; 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.