HOLLYWOOD MEDICAL CENTER
NPI 1093690117
General Practice in Los Angeles, CA
About Hollywood Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLYWOOD MEDICAL CENTER (NPI 1093690117) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2025. The organization lists Nolan Carthell Jones, Ceo, Cfo, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hollywood Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hollywood Medical Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hollywood Medical Center's NPI number?
The NPI number for Hollywood Medical Center is 1093690117. It was assigned to this organization in the NPPES registry on August 7, 2025.
Where is Hollywood Medical Center located?
Hollywood Medical Center is located at 5101 Santa Monica Blvd Ste 4, Los Angeles, CA 90029. The listed phone number is (323) 705-5552.
What is Hollywood Medical Center's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Hollywood Medical Center enrolled in Medicare?
Yes. Hollywood Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hollywood Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Hollywood Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hollywood Medical Center was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hollywood Medical Center · NPI 1093690117
General Practice organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 7, 2025.
## Identity
- **NPI:** 1093690117 (Entity type: Organization)
- **Enumerated:** August 7, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Nolan Jones, CEO, CFO, SECRETARY
## Practice location
- **Address:** 5101 SANTA MONICA BLVD STE 4, Los Angeles, CA 90029-2478
- **Phone:** (323) 705-5552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1093690117) · Data from the CMS NPPES public registry.