UNIVERSITY CHILDRENS MEDICAL GROUP (NPI# 1386829034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386829034 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CHILDRENS MEDICAL GROUP |
| Practice Address |
4650 W Sunset Blvd # 114 Los Angeles CA 90027-6062 |
| Mailing Address |
6430 W Sunset Blvd Ste 600 Los Angeles CA 90028-7909 |
| Practice Telephone | 3233612289 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| 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 | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0066679 | 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 |
| 1114102860 | University Childrens Medical Group | Psychiatry & Neurology | 4650 W Sunset Blvd # 115, 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 # 114 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853820 | Wendy Luk | Physician Assistant | 4650 W Sunset Blvd # 114, Los Angeles, CA 90027-6062 | 2018-06-03 |
| 1568814184 | Zorash Montano | Psychologist | 4650 W Sunset Blvd # 114, Los Angeles, CA 90027-6062 | 2016-07-07 |
| 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 | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518194935 | Renea Sturm | Urology | 200 Ucla Medical Plz Ste 170, Los Angeles, CA 90095-8344 | 2009-06-11 |
| 1255522538 | Andy Yu-how Chang | Urology | 6430 W Sunset Blvd Ste 600, Los Angeles, CA 90028-7909 | 2007-08-05 |
| 1780707737 | Uti-ehrlich Medical Group | Urology | 100 Ucla Medical Plz, Suite 690, Los Angeles, CA 90095-0001 | 2007-04-06 |
| 1437282936 | Babak Robert Bamshad | Urology | 8635 W 3rd St, No. 765w, Los Angeles, CA 90048-6101 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326825 | Faculty Physicians and Surgeons of Llusm | Urology | 11360 Mt View Ave Ste B, Loma Linda, CA 92354-3834 | 2019-09-30 |
| 1124416813 | Igal Silber | Urology | 2645 Nido Way, Laguna Beach, CA 92651-4024 | 2015-01-02 |
| 1922430016 | Alan M Freedman M D Inc | Urology | 401 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4276 | 2013-07-31 |
| 1639449614 | Herbert Schwarz | Urology | 12011 Theta Rd, Santa Ana, CA 92705-3328 | 2012-01-06 |
| 1295900439 | Faculty Physicians and Surgeons of Llusm | Urology | 11370 Anderson St Ste 2050, Loma Linda, CA 92354-3450 | 2008-04-29 |
| 1598938243 | Jennifer Hsueh-lin Yang | Urology | Ucsf Department of Urology, 400 Parnassus Avenue, A633, San Francisco, CA 94143-0001 | 2008-04-02 |
| 1851500573 | Hillary L Copp | Urology | Ucsf Dept of Urology, 400 Parnassus Ave, San Francisco, CA 94143-0001 | 2007-05-21 |
| 1801000542 | Lamia L. Gabal, Md, Inc. | Urology | 720 N Tustin Ave # 140, Santa Ana, CA 92705-3606 | 2007-05-10 |
| 1609963750 | Michael Bertnice Scott | Urology | 3637 Martin Luther King Jr Blvd, Suite B, Lynwood, CA 90262-3511 | 2006-10-09 |
| 1093759110 | Heidi Ann Stephany | Urology | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2006-06-16 |
| Find all providers with the same taxonomy | ||||
| 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.