NPIMap

Organization Active NPI

L. a. Downtown Medical Center, LLC.

  • Rehabilitation Hospital Unit
  • Los Angeles, CA
National Provider Identifier
1982351565
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
L. A. DOWNTOWN MEDICAL CENTER, LLC.
Practice address
1711 W. Temple St
Los Angeles, CA 90026
Phone
(213) 989-6100
Fax
(213) 484-3552
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Vicki A Rollins, RN
Title
President
Phone
(213) 989-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

1711 W. Temple St
Los Angeles, CA 90026

Mailing address

1711 W. Temple St
Los Angeles, CA 90026
Phone (213) 989-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190307003225 CA Part A Provider - Hospital 7315286325 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Rosemead, CA; West Covina, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982351565. Details of each certification follow.

Hospital certification: CCN 050763

Legal name
L A DOWNTOWN MEDICAL CENTER LLC
Doing business as
N/A
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 25, 2008
Last certification
Sep 15, 2023
Beds
187
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2019 (1 total)
Organization structure
CorporationProprietary
Incorporated
Aug 28, 2017 in CA
Enrollment address
1711 W Temple St
Los Angeles, CA 90026-5421
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
L a Downtown Medical CenterCCN 050763 · 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
No

National Provider Directory

National Provider Directory
Tax ID family
L a Downtown Medical Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1711 W Temple St
Ste 801813
Los Angeles, CA 90026
Phone (213) 979-6117

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Ann Francisco Individual W-2 Managing EmployeeChief Nursing Officer Sep 6, 2022 50%
Operational/Managerial ControlChief Nursing Officer Sep 6, 2022 50%
Christopher Siregar Individual W-2 Managing EmployeeAd; Mar 1, 2025 50%
Operational/Managerial ControlAdministrator Mar 1, 2025 50%
William a Nelson Individual 5% Or Greater Direct Ownership InterestPresident Mar 4, 2019 50%
5% Or Greater Security InterestPresident Mar 1, 2019 50%
Corporate OfficerPresident Mar 1, 2019 50%
Corporate DirectorPresident Mar 1, 2019 50%
Operational/Managerial ControlPresident Mar 1, 2019 50%
OtherCo-Manager Mar 1, 2019 50%
Lakshman Makandura Individual Contracted Managing EmployeeMD; Jan 1, 2023
L a Downtown Medical Center LLC Organization, Los Angeles, CA Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 4, 2019 100%
Operational/Managerial Control Mar 4, 2019 100%
Vicki P Rollins Individual 5% Or Greater Direct Ownership InterestVice-President Mar 1, 2019 50%
Corporate OfficerVice-President Mar 1, 2019 50%
Corporate DirectorVice-President Mar 1, 2019 50%
Operational/Managerial ControlVice-President Mar 1, 2019 50%
OtherCo-Manager Mar 1, 2019 50%
La Downtown Medical Center Property LLC Organization, Los Angeles, CA Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 4, 2019 100%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 95

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

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1982351565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W. TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "213-989-6100",
            "fax_number": "213-484-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W. TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "213-989-6100",
            "fax_number": "213-484-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. A. DOWNTOWN MEDICAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-989-6100",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.