USC VERDUGO HILLS HOSPITAL SNF
NPI 1104206176
Skilled Nursing Facility in Los Angeles, CA
NPI Status: Active since June 04, 2015
Contact Information
1510 SAN PABLO ST
HCC 600
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-9775
Fax: (323) 442-9848
- Organization
- Skilled Nursing Facility
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 05D0989993
- CLIA Cert. Type: Health Fair
- CLIA Exp. Date: 08-09-2027
About USC VERDUGO HILLS HOSPITAL SNF
This page provides the complete NPI Profile along with additional information for Usc Verdugo Hills Hospital Snf, a provider established in Los Angeles, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1104206176 assigned on June 2015. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Usc Verdugo Hills Hospital Snf. The authorized official of this NPI record is Mr. Thomas E. Jackiewicz (Svp & Ceo)
- NPI
- 1104206176
- Provider Legal Name
- UNIVERSITY OF SOUTHERN CALIFORNIA
- Other Organization Name
- USC VERDUGO HILLS HOSPITAL SNF
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1510 SAN PABLO ST HCC 600 LOS ANGELES, CA 90033
- Location Phone
- (323) 442-9775
- Location Fax
- (323) 442-9848
- Mailing Address
- 1510 SAN PABLO ST HCC 600 LOS ANGELES, CA 90033
- Mailing Phone
- (323) 442-9775
- Mailing Fax
- (323) 442-9848
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2015
- Last Update Date
- 06-04-2015
- Code Navigator
Usc Verdugo Hills Hospital Snf is a medicare supplier with PTAN 20575703 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License State
- CA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20575703
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0989993
- Facility Type
- Health Fair
- Certificate Effective Date
- August 10, 2025
- Certificate Expiration Date
- August 09, 2027
- Laboratory Director
- JOANNE SUH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Usc Verdugo Hills Hospital Snf to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104206176, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 44 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104206176, enumerated as an "organization" on June 04, 2015.
The provider is located at 1510 SAN PABLO ST HCC 600 LOS ANGELES, CA 90033 and the phone number is (323) 442-9775.
Skilled Nursing Facility with taxonomy code 314000000X.
