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ADVENTIST HEALTH WHITE MEMORIAL
NPI 1942281936
Special Hospital in Los Angeles, CA

Active since November 08, 2005CLIA Certified · 8 labs
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033(323) 268-5000(323) 265-5070 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adventist Health White Memorial NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVENTIST HEALTH WHITE MEMORIAL (NPI 1942281936) is a healthcare organization registered as a special hospital in Los Angeles, California and active in the NPI registry since November 2005. The organization holds 8 active CLIA laboratory certificates and lists John Raffoul, Cfo, as its authorized official.

NPPES Registry Identity

NPI1942281936
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameWHITE MEMORIAL MEDICAL CENTER
Location Address1720 E CESAR E CHAVEZ AVELos Angeles, CA 90033-2414
Mailing Address1720 E Cesar E Chavez AveLos Angeles, CA 90033-2414 · (323) 268-5000 · Fax (323) 265-5070
Phone(323) 268-5000
Fax(323) 265-5070
Organization SubpartYes
Authorized OfficialJohn RaffoulCfo · (323) 268-5000
Enumeration DateNovember 8, 2005
Last NPPES UpdateMay 1, 2018
✔ NPI 1942281936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
License✔ Licensed in CA · 930000195
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
1720 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033
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Other Names 1

Doing Business AsAdventist Health White Memorial

Other Identifiers 3

OtherZZZA1920ZCA · Blue Shield
Other=========-0000CA · Tricare
MedicaidLTC55312FCA

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2321893

Adventist Health White Memorial Point Of Care Test · Los Angeles, CA
Active · expires Apr 10, 2027
CLIA Number05D2321893
Laboratory TypeHospital
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorAnn Z. Tan
Laboratory Phone(323) 268-5000
Laboratory LocationAdventist Health White Memorial Point Of Care Test1720 E Cesar E Chavez Ave, 2nd Fl North Bldg, Los Angeles, CA 90033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2258183

Adventist Health White Memorial Boyle Heights Clinic · Los Angeles, CA
Active · expires Apr 17, 2028
CLIA Number05D2258183
Laboratory TypeHospital Based Outpatient
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorNilem Patel
Laboratory Phone(323) 268-5000
Laboratory LocationAdventist Health White Memorial Boyle Heights Clinic1700 E Cesar Chavez Ave Suite 3300, Los Angeles, CA 90033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2289593

Adventist Health White Memorial Advanced Imaging · Los Angeles, CA
Active · expires Sep 12, 2027
CLIA Number05D2289593
Laboratory TypeHospital Based Op Imaging
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorEdward Gabriel
Laboratory Phone(323) 268-5000
Laboratory LocationAdventist Health White Memorial Advanced Imaging1700 E Cesar E Chavez Ave Ste 1800, Los Angeles, CA 90033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2233271

Adventist Health White Memorial Limb Prevention Center · Los Angeles, CA
Active · expires Aug 21, 2027
CLIA Number05D2233271
Laboratory TypeHospital Based Outpatient
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorBrian Johnston
Laboratory Phone(323) 268-5000
Laboratory LocationAdventist Health White Memorial Limb Prevention Center1828 E Cesar E Chavez Ave Ste 4600, Los Angeles, CA 90033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0925580

Adventist Health White Memorial Montebello · Montebello, CA
Active · expires Jul 13, 2027
CLIA Number05D0925580
Laboratory TypeHospital
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorDr. Ann Z. Tan
Laboratory Phone(323) 268-5000
Laboratory LocationAdventist Health White Memorial Montebello309 West Beverly Blvd, Montebello, CA 90640
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 05D0543421

Adventist Health White Memorial Laboratory · Los Angeles, CA
Active · expires Mar 12, 2027
CLIA Number05D0543421
Laboratory TypeHospital
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorDr. Ann Z. Tan
Laboratory Phone(323) 268-5000
Laboratory LocationAdventist Health White Memorial Laboratory1720 Cesar E Chavez Ave, Los Angeles, CA 90033
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAYELI BUENROSTRO DPM
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
PARDIS A SAFFARI DO
Internal Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
AH YEON CHANG RN
Registered Nurse (Case Management)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
JOSIF BOROVIC, MD, INC
Pain Medicine (Interventional Pain Medicine)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (562) 407-2080
CONNIE CHUNG MD
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
DAVINA RENE HSU D.O.
Family Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
STELLA MARIE GOMORY PA-C
Physician Assistant
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
MARYAM FAKHRAI
Obstetrics & Gynecology
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (949) 510-4227

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 White Memorial Medical Center's NPI number?

The NPI number for White Memorial Medical Center is 1942281936. It was assigned to this organization in the NPPES registry on November 8, 2005. The provider is doing business as Adventist Health White Memorial.

Where is White Memorial Medical Center located?

White Memorial Medical Center is located at 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033. The listed phone number is (323) 268-5000.

What is White Memorial Medical Center's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

Does White Memorial Medical Center hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for White Memorial Medical Center was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.