UCLA PEDIATRICS (NPI# 1255528055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255528055 |
| Entity Type | Organization |
| Organization Name | UCLA PEDIATRICS |
| Other Organization Name | UCLA PEDIATRICS-GARY RACHELEFSKY |
| Practice Address |
200 Med Plz Ste 140-17 Los Angeles CA 90095-3075 |
| Mailing Address |
10833 Le Conte Ave 12-441 Mdcc Los Angeles CA 90095-3075 |
| Practice Telephone | 3102063952 |
| Practice Fax Number | 3102060209 |
| Mailing Telephone | 3102063952 |
| Mailing Fax Number | 3102060209 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | DR. GARY RACHELEFSKY (DIRECTOR; EXECUTIVE FOR CAARD) |
| Authorized Official Telephone | 3102063952 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | UCLA DEPARTMENT OF PEDIATRICS GROUP PRACTICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
G22339 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCLA Pediatrics-Gary Rachelefsky | Former Legal Business Name - Organization |
| Street Address |
200 MED PLZ STE 140-17 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030996 | S Anjani Mattai | Internal Medicine | 200 Med Plz, 365-a, Los Angeles, CA 90095-0001 | 2006-02-01 |
| 1437460359 | Andrew Breithaupt | Dermatology | 200 Med Plz, Suite 450, Los Angeles, CA 90095-0001 | 2010-06-25 |
| 1144454356 | Erin Ashley Wann | Registered Nurse | 200 Med Plz, Suite 265, Los Angeles, CA 90095-0001 | 2009-05-04 |
| 1063617116 | Stephen Samuel Weigt | Internal Medicine | 200 Med Plz, Suite 365, Los Angeles, CA 90095-0001 | 2007-06-19 |
| 1619178944 | Amy Lin | Internal Medicine | 200 Med Plz, Suite 365, Los Angeles, CA 90095-0001 | 2007-05-31 |
| 1881712370 | Mark Ovsiowitz | Internal Medicine | 200 Med Plz, Suite 365, Los Angeles, CA 90095-0001 | 2007-03-26 |
| 1003959719 | Heidi Butz | Internal Medicine | 200 Med Plz, Suite 530, Los Angeles, CA 90095-0001 | 2007-02-14 |
| 1164592408 | Julia K Bail | Internal Medicine | 200 Med Plz, Suite 420, Los Angeles, CA 90095-0001 | 2006-11-08 |
| 1316972219 | Michael Chunchi Lu | Obstetrics & Gynecology | 200 Med Plz, Suite 430, Los Angeles, CA 90095-0001 | 2006-07-11 |
| 1548291180 | Lawrence Taw | Internal Medicine | 200 Med Plz, Suite# 365, Los Angeles, CA 90095-0001 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207KI0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Clinical & Laboratory Immunology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174985758 | Downtown La Research.inc | Allergy & Immunology | 1125 W 6th St Ste 307, Los Angeles, CA 90017-1894 | 2016-03-23 |
| 1841535192 | Marc J. Meth, M.d., Inc. | Allergy & Immunology | 2080 Century Park East Ste. 810, Los Angeles, CA 90067-2011 | 2012-11-27 |
| 1508013301 | Marc Jeffrey Meth | Allergy & Immunology | 2080 Century Park E Ste 810, Los Angeles, CA 90067-2011 | 2008-08-22 |
| 1386073377 | Jonathan Corren Md, Inc | Allergy & Immunology | 10780 Santa Monica Blvd, Suite #280, Los Angeles, CA 90025-4749 | 2013-11-11 |
| 1447464375 | Eric Yen | Allergy & Immunology | 10833 Le Conte Ave, Room 12-430, Los Angeles, CA 90095-3075 | 2007-05-10 |
| 1639234354 | Allergy Medical Clinic | Allergy & Immunology | 11620 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-1706 | 2006-12-22 |
| 1447360086 | Jonathan Corren | Allergy & Immunology | 10780 Santa Monica Blvd, Suite 280, Los Angeles, CA 90025-4749 | 2006-08-30 |
| 1447263652 | Howard Schanker | Allergy & Immunology | 11620 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-1706 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271300 | Patient Payment Agent | Allergy & Immunology | 750 Story Rd Ste 12, San Jose, CA 95122-2604 | 2020-06-26 |
| 1841429404 | Alexander S Kim | Allergy & Immunology | 9500 Gilman Dr Dept 635, La Jolla, CA 92093-0635 | 2009-07-03 |
| 1427195734 | Joshua G Gibbs | Allergy & Immunology | 9220 Haven Ave, Ste 101, Rancho Cucamonga, CA 91730-8551 | 2007-01-30 |
| 1144305574 | Jeremy Elliott Kaslow | Allergy & Immunology | 720 N Tustin Ave Ste 202, Santa Ana, CA 92705-3606 | 2006-10-25 |
| 1699733766 | Sean Leson | Allergy & Immunology | 12512 Garden Grove Blvd, Garden Grove, CA 92843-1907 | 2006-05-01 |
| 1114903457 | Paul Norman Cloninger | Allergy & Immunology | 4801 J St, Suite B, Sacramento, CA 95819-3746 | 2005-12-19 |
| 1659685105 | Krithika Ramadas Md, A Professional Corp | Allergy & Immunology | 2100 Lynn Road, Suite 225, Thousand Oaks, CA 91360-8037 | 2010-07-27 |
| 1083857742 | Allergy Asthma Sinus Medical Center | Allergy & Immunology | 4644 Lincoln Blvd Ste 410, Marina Del Rey, CA 90292-6390 | 2009-04-10 |
| 1811149677 | Brush Advisories Medical | Allergy & Immunology | 520 N Main St Ste 111, Santa Ana, CA 92701 | 2008-10-10 |
| 1730257932 | Allergy & Asthma Adult & Pediatric Medical Group of The Redwoods Inc | Allergy & Immunology | 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401-4120 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| 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.