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Cedars-Sinai Marina Hospital

Organization Active NPI General Acute Care Hospital · Marina del Rey, CA

NPI 1942269725 · NPPES record last updated Jan 15, 2025

Key facts

NPI
1942269725
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
930000096 (CA)
Legal business name
CEDARS-SINAI MARINA 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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 5

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

Corporate family (same 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.

Facilities with the same owner 3

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

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 107

Affiliated clinicians 394

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

View all 394

Medicare Care Compare: Hospital

Listed as
Cedar-Sinai Marina del Rey Hospital CCN 050740
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0549077Cedars-Sinai Marina Hospital
4650 Lincoln Blvd, Marina del Rey, CA 90292		AccreditationAug 10, 2027
05D0914697Cedars-Sinai Marina Hospital
4650 Lincoln Boulevard, Marina del Rey, CA 90292		AccreditationAug 5, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

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
Corporation · Non-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

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 Director
Board 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 Employee
Cfo		 Mar 4, 2025
David M Wrigley
Individual 		Corporate Officer
Senior Vice President of Finance		 Jan 25, 2019
Bryan Croft
Individual 		Corporate Officer Jun 3, 2023
W-2 Managing Employee
Ceo		 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 Employee
President		 Oct 1, 2024
Joseph Paul Bouganim
Individual 		W-2 Managing Employee
Executive Director, Reimbursement		 Sep 1, 2015

Medicare enrollment records

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

National Provider Directory

Tax ID family
CFHS Holdings Inc (6 organizations share this tax ID)

Locations

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

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

8540 S Sepulveda Blvd
Ste 1006
Los Angeles, CA 90045
Phone (310) 670-1865

500 S Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 683-5576

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

2222 Santa Monica Blvd
Ste 200
Santa Monica, CA 90404
Phone (310) 449-0093

4201 Torrance Blvd
Ste 790
Torrance, CA 90503
Phone (310) 370-4558

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
HSP30730GMedicaidCA
HSP40730GMedicaidCA

Other names

  • Cedars-Sinai Marina Del Rey Hospital Doing business as

Electronic endpoints

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

Other providers in Marina del Rey, CA

All providers in Marina del Rey, CA · General Acute Care Hospital in California

Sources for this page

Verify at the official NPI Registry.