NPIMap

Organization Active NPI

Cha Hollywood Medical Center, LP

Doing business as Hollywood Presbyterian Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
National Provider Identifier
1922033547
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000067 Issued in CA
Legal business name
CHA HOLLYWOOD MEDICAL CENTER, LP
Doing business as
Hollywood Presbyterian Medical Center
Practice address
1300 North Vermont Ave
Los Angeles, CA 90027
Phone
(213) 413-3000
Fax
(323) 660-7952
NPI assigned
Jul 12, 2006
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Mr. Kenneth I Rivers
Title
President, Ceo
Phone
(323) 913-4914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
General Acute Care Hospital 282N00000X 930000067 CA Primary

Addresses

Primary practice location

1300 North Vermont Ave
Los Angeles, CA 90027

Mailing address

1300 North Vermont Ave.
Los Angeles, CA 90027
Phone (213) 413-3000

Other names 1

  • Hollywood Presbyterian Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000754 CA Part A Provider - Hospital 9032175476 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922033547. Details of each certification follow.

Hospital certification: CCN 050063

Legal name
CHA HOLLYWOOD MEDICAL CENTER LP
Doing business as
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 8, 2022
Beds
345
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 13, 1998 (1 total)
Organization structure
OtherProprietary
Enrollment address
1300 N. Vermont Avenue
Los Angeles, CA 90027-6005
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hollywood Presbyterian Medical CenterCCN 050063 · All quality measures
Overall star rating
3 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
Cha Hollywood Medical Center LP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations (25 of 27)

912 W Glenoaks Blvd
Glendale, CA 91202
Phone (626) 484-0606

24411 Health Center Dr
Ste 520
Laguna Hills, CA 92653
Phone (949) 268-4568

1211 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 426-9480

1245 Wilshire Blvd
Ste 306
Los Angeles, CA 90017
Phone (213) 483-6830

1245 Wilshire Blvd
Ste 501
Los Angeles, CA 90017
Phone (213) 413-6196

1300 N Vermont Ave
Ste 1009
Los Angeles, CA 90027
Phone (323) 666-6210

1300 N Vermont Ave
Ste 810
Los Angeles, CA 90027
Phone (323) 665-5600

2105 Beverly Blvd
Ste 205
Los Angeles, CA 90057
Phone (213) 483-2577

2140 W Olympic Blvd
Ste 210
Los Angeles, CA 90006
Phone (213) 381-5454

266 S Harvard Blvd
Ste 340
Los Angeles, CA 90004
Phone (213) 908-5014

2675 W Olympic Blvd
Ste 100
Los Angeles, CA 90006
Phone (213) 382-0031

2727 W Olympic Blvd
Ste 206
Los Angeles, CA 90006
Phone (213) 380-7077

2727 W Olympic Blvd
Ste 302
Los Angeles, CA 90006
Phone (213) 382-0088

321 N Larchmont Blvd
Ste 618
Los Angeles, CA 90004
Phone (213) 469-7133

321 N Larchmont Blvd
Ste 824
Los Angeles, CA 90004
Phone (213) 936-8283

3323 W Olympic Blvd
Ste 210
Los Angeles, CA 90019
Phone (323) 733-0127

520 S Virgil Ave
Ste 202
Los Angeles, CA 90020
Phone (213) 368-0360

520 S Virgil Ave
Ste 307
Los Angeles, CA 90020
Phone (213) 386-2500

5250 Santa Monica Blvd
Ste 207
Los Angeles, CA 90029
Phone (323) 664-0857

817 S Vermont Ave
Los Angeles, CA 90005
Phone (213) 385-0029

12157 Victory Blvd
North Hollywood, CA 91606
Phone (818) 755-8000

960 E Green St
Ste 286
Pasadena, CA 91106
Phone (626) 356-0340

1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121

9310 Valley Blvd
#B
Rosemead, CA 91770
Phone (626) 288-8671

1419 19th St
Santa Monica, CA 90404
Phone (310) 820-8608

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marcel C Loh Individual Corporate OfficerCeo Oct 5, 2020
W-2 Managing EmployeeHospital Ceo Oct 5, 2020
Cha Health Systems Organization, Los Angeles, CA Created for acquisition, Corporation, For-profit Limited Partnership Interest Apr 2, 2001 98.75%
Won T Cha Individual Corporate OfficerCoo Oct 15, 2015
CHS Healthcare Management LLC Organization, Los Angeles, CA Created for acquisition, LLC, For-profit General Partnership Interest Nov 29, 2005 1.25%

Practitioners & affiliated clinicians

Practitioners 311

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.

View all 311

Affiliated clinicians 244

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 244

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1922033547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NORTH VERMONT AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "213-413-3000",
            "fax_number": "323-660-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NORTH VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "213-413-3000",
            "fax_number": "323-660-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHA HOLLYWOOD MEDICAL CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "323-913-4914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Presbyterian Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.