NPIMap

Organization Active NPI

Cedars-Sinai Marina Hospital

Doing business as Cedars-Sinai Marina Del Rey Hospital

  • General Acute Care Hospital
  • Marina del Rey, CA
National Provider Identifier
1942269725
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000096 Issued in CA
Legal business name
CEDARS-SINAI MARINA HOSPITAL
Doing business as
Cedars-Sinai Marina Del Rey Hospital
Practice address
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone
(310) 448-5261
Fax
(310) 574-7854
NPI assigned
Mar 21, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Lisa Maqueira
Title
VP, Finance and Cro
Phone
(310) 385-3273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000096 CA Primary

Addresses

Primary practice location

4650 Lincoln Blvd
Marina del Rey, CA 90292-6306

Mailing address

4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone (310) 448-5261

Other names 1

  • Cedars-Sinai Marina Del Rey Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000205 CA Part A Provider - Hospital 8527021237 Practice locations: Marina del Rey, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942269725. Details of each certification follow.

Hospital certification: CCN 050740

Legal name
CEDARS-SINAI MARINA HOSPITAL
Doing business as
CEDARS-SINAI MARINA DEL REY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 19, 2004
Last certification
Sep 10, 2021
Beds
145
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 2015 in CA
Enrollment address
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Alcohol/drug, Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Cedar-Sinai Marina del Rey HospitalCCN 050740 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0549077Cedars-Sinai Marina Hospital4650 Lincoln Blvd, Marina del Rey, CA 90292AccreditationAug 10, 2027
05D0914697Cedars-Sinai Marina Hospital4650 Lincoln Boulevard, Marina del Rey, CA 90292AccreditationAug 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
CFHS Holdings Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 6

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

  • CFHS Holdings, Inc.

    dba Centinela Freeman Regional Medical Center, Memorial Campus

    • General Acute Care Hospital
    • Inglewood, CA
    • NPI 1366402489

    Member Of

    NPD member
  • CFHS Holdings, Inc.

    dba Centinela Freeman Regional Medical Center, Centinela Campus

    • General Acute Care Hospital
    • Inglewood, CA
    • NPI 1619936440

    Member Of

    NPD member
  • CFHS Holdings, Inc.

    dba Centinela Freeman Regional Medical Center, Centinela Campus

    • Rehabilitation Hospital Unit
    • Inglewood, CA
    • NPI 1881654077

    Member Of

    NPD member

Locations

3831 Hughes Ave
Ste 606
Culver City, CA 90232
Phone (310) 425-8060

3831 Hughes Ave
Ste 707
Culver City, CA 90232
Phone (310) 829-3353

325 E Hillcrest Blvd
Inglewood, CA 90301
Phone (310) 677-7172

13345 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 860-0646

8540 S Sepulveda Blvd
Ste 150
Los Angeles, CA 90045
Phone (310) 417-4014

13160 Mindanao Way
Ste 200
Marina del Rey, CA 90292
Phone (310) 482-6906

4560 Admiralty Way
Ste 352
Marina del Rey, CA 90292
Phone (310) 306-8873

4560 Admiralty Way
Ste 356
Marina del Rey, CA 90292
Phone (310) 673-6950

4676 Admiralty Way
Ste 303
Marina del Rey, CA 90292

6991 N State St
Redwood Vly, CA 95470
Phone (707) 467-5620

18133 Ventura Blvd
Ste 401
Tarzana, CA 91356
Phone (424) 314-7784

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Cedars-Sinai Medical Center Organization, West Hollywood, CA Corporation, Non-profit Operational/Managerial Control Sep 1, 2015
Mohammed Ahmar Individual Corporate Director Jan 1, 2023
Thomas Leanse Individual Corporate DirectorBoard Member Jan 1, 2022
Murali Gangadharan Individual Corporate Officer Jan 1, 2025
Keith V Yabumoto Individual Corporate Director Jan 1, 2024
Xingtong Stella Chen Individual Corporate Officer Mar 4, 2025
W-2 Managing EmployeeCfo Mar 4, 2025
David M Wrigley Individual Corporate OfficerSenior Vice President of Finance Jan 25, 2019
Bryan Croft Individual Corporate Officer Jun 3, 2023
W-2 Managing EmployeeCeo Jun 3, 2023
Leslie F Vermut Individual Corporate Director Jan 27, 2016
Cedars-Sinai Marina Hospital Organization, Marina del Rey, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2004
Cedars-Sinai Health System Organization, Los Angeles, CA Corporation, Non-profit Other May 1, 2017 100%
Peter L Slavin Individual Corporate Officer Oct 1, 2024
W-2 Managing EmployeePresident Oct 1, 2024
Joseph Paul Bouganim Individual W-2 Managing EmployeeExecutive Director, Reimbursement Sep 1, 2015

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 107

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 107

Affiliated clinicians 394

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

View all 394

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1942269725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 LINCOLN BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926306",
            "telephone_number": "310-448-5261",
            "fax_number": "310-574-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 LINCOLN BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926306",
            "telephone_number": "310-448-5261",
            "fax_number": "310-574-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS-SINAI MARINA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "MAQUEIRA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP, FINANCE AND CRO",
        "authorized_official_telephone_number": "310-385-3273"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cedars-Sinai Marina Del Rey Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedars-Sinai Marina Del Rey Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.