DR. CARLOS ANDRES UQUILLAS (NPI# 1255658332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255658332 |
| Entity Type | Individual |
| Full Name | DR. CARLOS ANDRES UQUILLAS |
| Credential | MD |
| Practice Address |
Kerlan - Jobe Orthopaedic Clinic 6801 Park Terrace, Suite 500 Los Angeles CA 90025 |
| Practice Telephone | 3106657235 |
| Practice Fax Number | 3106657296 |
| Mailing Telephone | 3106657235 |
| Mailing Fax Number | 3106657296 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
136243 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
KERLAN - JOBE ORTHOPAEDIC CLINIC 6801 PARK TERRACE , SUITE 500 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619218559 | Yung Han | Orthopaedic Surgery | 505 S Virgil Ave Ste 205, Los Angeles, CA 90020-1443 | 2013-03-01 |
| 1063769883 | Pascual Dutton | Orthopaedic Surgery | 6801 Park Ter Ste 500, Los Angeles, CA 90045-9212 | 2012-08-10 |
| 1942322060 | Rodney A Gabriel M.d. Inc | Orthopaedic Surgery | 444 S. San Vicente Blvd., Los Angeles, CA 90048 | 2007-04-06 |
| 1992801203 | David Ray Mcallister | Orthopaedic Surgery | Ucla Orthopaedic Surgery, 10833 Leconte Avenue, Los Angeles, CA 90095-0001 | 2006-09-15 |
| 1215039284 | Marc Arnold Samson | Orthopaedic Surgery | 1245 Wilshire Blvd., Suite 200, Los Angeles, CA 90017 | 2006-09-01 |
| 1447229570 | Mark Ganjianpour | Orthopaedic Surgery | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2006-03-14 |
| 1376514984 | Orr Limpisvasti | Orthopaedic Surgery | 6801 Park Terrace, Los Angeles, CA 90045-0000 | 2006-01-31 |
| 1417941535 | Julian E Girod | Orthopaedic Surgery | 5230 Pacific Concourse Dr, Suite 110, Los Angeles, CA 90045-6200 | 2005-09-02 |
| 1447787569 | Health Link Medical Group Inc | Orthopaedic Surgery | 1125 S Beverly Dr Ste 720, Los Angeles, CA 90035-1180 | 2017-05-19 |
| 1164979803 | Neil Ghodadra M.d. Inc | Orthopaedic Surgery | 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 | 2016-09-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.