CCN: 050103 NPI: 1215927470 Organization

ADVENTIST HEALTH WHITE MEMORIAL

1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 900332414

Contact Information

Phone 3232685000
Fax 3232655070
Enumeration Date 2005-10-27
Last Updated 2025-09-19

Taxonomies

Code: 282N00000X (Primary) License State: CA License: 930000195

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.121

medicaidRatio 0.5506

uncompensatedCareAmount 1113.96

internsToBedsRatio 0.2067

vbpAdjustment 0.9991364266

hhrAdjustment 0.9971

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.121

medicaidRatio 0.5506

uncompensatedCareAmount 979.11

internsToBedsRatio 0.2067

vbpAdjustment 1.0022997222

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.131

medicaidRatio 0.5896

uncompensatedCareAmount 979.11

internsToBedsRatio 0.2133

vbpAdjustment 1.0022997222

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.131

medicaidRatio 0.5896

uncompensatedCareAmount 979.11

internsToBedsRatio 0.2133

vbpAdjustment 1.0022997222

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.131

medicaidRatio 0.5896

uncompensatedCareAmount 860.12

internsToBedsRatio 0.2133

vbpAdjustment 1.0019864249

hhrAdjustment 0.9976

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.121

medicaidRatio 0.5723

uncompensatedCareAmount 860.12

internsToBedsRatio 0.2311

vbpAdjustment 1.0019864249

hhrAdjustment 0.9976

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.121

medicaidRatio 0.5723

uncompensatedCareAmount 860.12

internsToBedsRatio 0.2311

vbpAdjustment 1.0019864249

hhrAdjustment 0.9976

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.132

medicaidRatio 0.5899

uncompensatedCareAmount 860.12

internsToBedsRatio 0.2096

vbpAdjustment 1.0019864249

hhrAdjustment 0.9976

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.132

medicaidRatio 0.5899

uncompensatedCareAmount 689.58

internsToBedsRatio 0.2096

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.132

medicaidRatio 0.5899

uncompensatedCareAmount 689.58

internsToBedsRatio 0.2096

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.132

medicaidRatio 0.5899

uncompensatedCareAmount 689.58

internsToBedsRatio 0.2096

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.134

medicaidRatio 0.573

uncompensatedCareAmount 689.58

internsToBedsRatio 0.2072

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.134

medicaidRatio 0.573

uncompensatedCareAmount 916.87

internsToBedsRatio 0.2072

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.134

medicaidRatio 0.573

uncompensatedCareAmount 916.87

internsToBedsRatio 0.2072

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.134

medicaidRatio 0.573

uncompensatedCareAmount 916.87

internsToBedsRatio 0.2072

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.134

medicaidRatio 0.573

uncompensatedCareAmount 1043.87

internsToBedsRatio 0.2072

vbpAdjustment 0.9989253828

hhrAdjustment 0.9971

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.127

medicaidRatio 0.591

uncompensatedCareAmount 1043.87

internsToBedsRatio 0.2019

vbpAdjustment 0.9989253828

hhrAdjustment 0.9971

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.125

medicaidRatio 0.6014

uncompensatedCareAmount 1045.77

internsToBedsRatio 0.1997

vbpAdjustment 0.9989253828

hhrAdjustment 0.9971

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.125

medicaidRatio 0.6014

uncompensatedCareAmount 803.24

internsToBedsRatio 0.1997

vbpAdjustment 1.0055343107

hhrAdjustment 0.9986

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.125

medicaidRatio 0.6014

uncompensatedCareAmount 803.24

internsToBedsRatio 0.1997

vbpAdjustment 1.0055343107

hhrAdjustment 0.9986

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.125

medicaidRatio 0.6014

uncompensatedCareAmount 2272.82

internsToBedsRatio 0.1997

vbpAdjustment 1.0046267642

hhrAdjustment 0.9957

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.125

medicaidRatio 0.6014

uncompensatedCareAmount 2272.82

internsToBedsRatio 0.1997

vbpAdjustment 1.0046267642

hhrAdjustment 0.9957

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.128

medicaidRatio 0.6347

uncompensatedCareAmount 2272.82

internsToBedsRatio 0.1966

vbpAdjustment 1.0046267642

hhrAdjustment 0.9957

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 07

caseMixIndex 1.1692

operatingCostToChargeRatio 0.128

medicaidRatio 0.6347

uncompensatedCareAmount 2272.82

internsToBedsRatio 0.1966

vbpAdjustment 1.0046267642

hhrAdjustment 0.9957

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1692

operatingCostToChargeRatio 0.128

medicaidRatio 0.6347

uncompensatedCareAmount 2272.82

internsToBedsRatio 0.1966

vbpAdjustment 1.0046267642

hhrAdjustment 0.9957

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1692

operatingCostToChargeRatio 0.128

medicaidRatio 0.6347

uncompensatedCareAmount 3152.45

internsToBedsRatio 0.1966

vbpAdjustment 1.0007937242

hhrAdjustment 0.9964

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1692

operatingCostToChargeRatio 0.129

medicaidRatio 0.6562

uncompensatedCareAmount 3152.45

internsToBedsRatio 0.184

vbpAdjustment 1.0007937242

hhrAdjustment 0.9964

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1692

operatingCostToChargeRatio 0.129

medicaidRatio 0.6562

uncompensatedCareAmount 3152.45

internsToBedsRatio 0.184

vbpAdjustment 1.0007937242

hhrAdjustment 0.9964

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.095

deviceCostToChargeRatio 0.17

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.095

deviceCostToChargeRatio 0.17

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.2

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.2

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.164

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.164

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.209

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.209

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.195

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.195

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.198

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.198

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.103

deviceCostToChargeRatio 0.185

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.103

deviceCostToChargeRatio 0.185

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 07

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.191

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.191

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.127

deviceCostToChargeRatio 0.19

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.127

deviceCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 01182

localityCode 18

ADVENTIST HEALTH WHITE MEMORIAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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