UNIVERSITY CHILDRENS MEDICAL GROUP (NPI# 1114102860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114102860 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CHILDRENS MEDICAL GROUP |
| Practice Address |
4650 W Sunset Blvd # 115 Los Angeles CA 90027-6062 |
| Mailing Address |
6430 W Sunset Blvd Ste 600 Los Angeles CA 90028-7909 |
| Practice Telephone | 3233612350 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | MARK SADAMITSU (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3233612345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GRS000450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295910941 | University Childrens Medical Group | Physical Medicine & Rehabilitation | 4650 W Sunset Blvd # 5, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1790960441 | University Childrens Medical Group | Pathology | 4650 W Sunset Blvd # 43, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1669657318 | University Childrens Medical Group | Radiology | 4650 W Sunset Blvd # 81, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1932384682 | University Childrens Medical Group | Pediatrics | 4650 W Sunset Blvd # 83, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1073798716 | University Childrens Medical Group | Ophthalmology | 4650 W Sunset Blvd # 88, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1033394788 | University Childrens Medical Group | Plastic Surgery | 4650 W Sunset Blvd # 96, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1699950337 | University Childrens Medical Group | Neurological Surgery | 4650 W Sunset Blvd # 102, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1386829034 | University Childrens Medical Group | Urology | 4650 W Sunset Blvd # 114, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1508041245 | University Childrens Medical Group | Optometrist | 4650 W Sunset Blvd # 88, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1871778514 | University Childrens Medical Group | Orthopaedic Surgery | 4650 W Sunset Blvd # 69, Los Angeles, CA 90027-6062 | 2007-12-31 |
| Street Address |
4650 W SUNSET BLVD # 115 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346458940 | Le Ondra Clark | Counselor | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2007-05-18 |
| 1871812537 | Virginia Navarro Beas | Marriage & Family Therapist | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2010-05-20 |
| 1710217948 | Sonia Trejo | Occupational Therapist | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2010-01-11 |
| 1487987848 | Zack Maxwell George Oldenburg | Social Worker | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2009-09-16 |
| 1780833327 | Sooyoung Park | Counselor | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2008-09-18 |
| 1437308491 | Arlene Mercado | Social Worker | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2008-09-15 |
| 1932357621 | Erin Theresa O'callaghan | Psychologist | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2008-09-05 |
| 1609050863 | Molly Melinda Flaherty | Counselor | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811381882 | Sinifunanya Nwaobi | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 245, Los Angeles, CA 90095-7419 | 2015-03-26 |
| 1902123060 | Danilo Reyes Bernardo Jr. | Psychiatry & Neurology | 10833 Le Conte Ave Ste 22-474, Los Angeles, CA 90095-4221 | 2010-04-29 |
| 1790965903 | Mohsen M Hamza Md Inc | Psychiatry & Neurology | 11600 Wilshire Blvd Ste 420, Los Angeles, CA 90025-1785 | 2007-11-06 |
| 1245441831 | Eric D. Saslow | Psychiatry & Neurology | 100 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-6997 | 2007-05-24 |
| 1154442655 | Nancy A Niparko | Psychiatry & Neurology | 8733 Beverly Boulevard, Suite 200, Los Angeles, CA 90048 | 2007-04-02 |
| 1285720292 | Tena La Dawn Rosser | Psychiatry & Neurology | 4650 Sunset Boulevard, M.s. #82, Los Angeles, CA 90027-6062 | 2006-10-05 |
| 1326011040 | Deborah Lee Holder | Psychiatry & Neurology | 4650 W Sunset Blvd # 82, Los Angeles, CA 90027-6062 | 2006-02-13 |
| 1972085694 | Madison Brooke Harris | Psychiatry & Neurology | 300 Ucla Medical Plz Ste 3300, Los Angeles, CA 90095-7004 | 2018-08-29 |
| 1629497565 | Andrew Ng | Psychiatry & Neurology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2014-04-08 |
| 1730520552 | Deepti Nagesh | Psychiatry & Neurology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-07-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on UNIVERSITY CHILDRENS MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.