UNIVERSITY CHILDRENS MEDICAL GROUP


Address: 4650 W Sunset Blvd, Ms# 61, Los Angeles, CA 90027-6062
Phone: 3233615963

UNIVERSITY CHILDRENS MEDICAL GROUP (NPI# 1497953046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497953046
Entity Type Organization
Organization Name UNIVERSITY CHILDRENS MEDICAL GROUP
Practice Address 4650 W Sunset Blvd
Ms# 61
Los Angeles
CA 90027-6062
Mailing Address 6430 W Sunset Blvd
Suite 600
Los Angeles
CA 90028-7901
Practice Telephone 3233615963
Enumeration Date 2007-07-05
Last Update Date 2012-10-18
Authorized Official Name MARK SADAMITSU (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3233612329
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0066676 05

Other Provider IDs and Locations

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
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

Office Location

Street Address 4650 W SUNSET BLVD
MS# 61
City LOS ANGELES
State CA
Zip Code 90027-6062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144223926 Fariba Navid Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2005-05-24
1811596810 Samih Samaha Social Worker 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-10-21
1437756988 Amanda Ruth Mendelis Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-10-07
1124638119 Hayden Mensah Mbroh Rehabilitation Counselor 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-08-04
1619587854 Allyssa Marie Asperin Cayago Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-08-03
1134739592 Alison Coombs Physical Therapist 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-07-31
1679190482 Jearelly Pinedo Registered Nurse 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-26
1124644901 Corey Hacker Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-17
1720602667 Bhavna Shah Physical Therapist 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 2020-06-06
1023632528 Bethany L Burdick Student in an Organized Health Care Education/Training Program 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-01
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447819388 Nancy Takatsuka Chang Pediatrics 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 2019-06-12
1619242807 Alaina Phillips Vidmar Pediatrics 4650 W Sunset Blvd, Department of Pediatric Endocrinology, Los Angeles, CA 90027-6062 2012-03-20
1730477944 Jessica A Ferris Pediatrics 4650 W Sunset Blvd, Mailstop 61, Los Angeles, CA 90027-6062 2011-07-21
1508031352 Lily C Chao Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2008-04-23
1750569133 Swati Vijaylakshmi Elchuri Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027 2008-02-07
1043404288 Joshua A May Pediatrics 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 2007-08-30
1013043678 Jennifer Kathleen Raymond Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027 2007-02-26
1528135464 Benjamin Fass Pediatrics 6041 Cadillac Ave, Los Angeles, CA 90034-1702 2006-11-29
1053482943 Richard A. Fefferman Pediatrics 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 2006-11-13
1376624148 Francine Kaufman Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2006-10-18
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90027

Improve Information

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Dataset Information

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.

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