NPIMap

Organization Active NPI

Cha Hollywood Medical Center, LP

  • 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
Practice address
1300 North Vermont Ave
Los Angeles, CA 90027
Phone
(213) 413-3000
Fax
(323) 660-7952
NPI assigned
Jul 12, 2006
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 identifiers 5

IdentifierTypeStateIssuer
HSD30063FMedicaidCA
ZZT30063HMedicaidCA
HSC30063HMedicaidCA
ZZZA1914AOtherBLUE SHIELD PROVIDER #
ZZT40063HMedicaidCA

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

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
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 44)

8820 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 423-4945

8929 Wilshire Blvd
Ste 225
Beverly Hills, CA 90211
Phone (310) 276-6933

9090 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 421-0066

222 W Eulalia St
Ste 100B
Glendale, CA 91204
Phone (562) 430-5900

1505 Wilson Ter
Ste 170
Glendale, CA 91206
Phone (818) 240-4004

1560 E Chevy Chase Dr
Ste 320
Glendale, CA 91206
Phone (818) 241-0300

1019 S Central Ave
Glendale, CA 91204
Phone (818) 244-4374

1510 S Central Ave
Ste 510
Glendale, CA 91204
Phone (818) 502-2181

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

222 W Eulalia St
Ste 211
Glendale, CA 91204
Phone (818) 502-4567

1510 S Central Ave
Ste 540
Glendale, CA 91204
Phone (818) 500-8739

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

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

266 S Harvard Blvd
Ste 100
Los Angeles, CA 90004
Phone (213) 383-9388

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

10921 Wilshire Blvd
Ste 1104
Los Angeles, CA 90024
Phone (310) 208-7744

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

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

1300 N Vermont Ave
Ste 307
Los Angeles, CA 90027
Phone (323) 953-8821

5220 Santa Monica Blvd
Ste E
Los Angeles, CA 90029
Phone (323) 913-0116

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

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

820A S Alvarado St
Los Angeles, CA 90057
Phone (213) 384-0604

4220 W 3rd St
Ste 206
Los Angeles, CA 90020
Phone (213) 380-8800

2727 W Olympic Blvd
Ste 305
Los Angeles, CA 90006
Phone (213) 381-0700

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.

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSD30063F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30063H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30063H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZA1914A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40063H",
            "state": "CA"
        }
    ],
    "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.