REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES (NPI# 1609194497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609194497 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES |
| Practice Address |
11303 W Washington Blvd Suite 100 Los Angeles CA 90066-6003 |
| Mailing Address |
File 2939 Los Angeles CA 90074-2939 |
| Practice Telephone | 3103917281 |
| Mailing Telephone | 3102063500 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | KATHERINE HALE (FINANCE DIRECTOR) |
| Authorized Official Telephone | 3103015311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1609194497 | 05 |
| Other Name | Type Code |
|---|---|
| Uc Regents UCLA Specialty Care Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770944068 | Regents of The University of California Los Angeles | Family Medicine | 2655 1st St, Suite 360, Simi Valley, CA 93065-1547 | 2016-03-14 |
| 1316318843 | Regents of The University of California Los Angeles | Durable Medical Equipment & Medical Supplies | 2424 Wilshire Blvd, Santa Monica, CA 90403-5806 | 2015-10-09 |
| 1467467340 | Regents of The University of California Los Angeles | Dentist | 10833 Le Conte Ave, Chs 10-157, Los Angeles, CA 90095-3075 | 2006-07-29 |
| Street Address |
11303 W WASHINGTON BLVD SUITE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861441602 | Uc Regents Ucla Department of Medicine Prof Group | Family Medicine | 11303 W Washington Blvd, #100, Los Angeles, CA 90066-6003 | 2006-05-09 |
| 1205479938 | Stephanie Quiroga | Student in an Organized Health Care Education/Training Program | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2019-10-25 |
| 1356805428 | Martha L. Grace-reed | Community Health Worker | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2019-01-23 |
| 1134613995 | Maria Raquel Carr | Counselor | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2018-06-15 |
| 1730677097 | Kimberly Watkins | Community Health Worker | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2018-04-23 |
| 1992293252 | Ogechukwu Chizoba Ojinnaka | Social Worker | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2018-04-23 |
| 1235633058 | Tabatha Sherie Brown | Community Health Worker | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2018-03-19 |
| 1083127906 | Eve Wettstein | Social Worker | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2017-11-14 |
| 1528411287 | Dejuanna Wallace | Case Manager/Care Coordinator | 11303 W Washington Blvd, Los Angeles, CA 90066 | 2016-07-18 |
| 1639524176 | Janice Freeman | Counselor | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1427604065 | Hkla Neuropain | Psychiatry & Neurology | 2204 S Bentley Ave Apt 104, Los Angeles, CA 90064-5501 | 2019-08-09 |
| 1851867253 | Eskenazi Neurological Institute | Psychiatry & Neurology | 1033 S Holt Ave Apt 1, Los Angeles, CA 90035-2034 | 2018-10-23 |
| 1629426630 | Ken Fujimura | Psychiatry & Neurology | 1100 N. State St., Cta4e, Los Angeles, CA 90033 | 2016-05-31 |
| 1659735074 | Peony Pak | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 425, Los Angeles, CA 90095-2903 | 2016-04-12 |
| 1972967982 | Anna O Koblik | Psychiatry & Neurology | 710 Westwood Plz # 1-190, Los Angeles, CA 90095-8353 | 2016-04-06 |
| 1699155150 | Kira Lauren Trunzo Dillard | Psychiatry & Neurology | 100 Ucla Medical Plz Ste 425, Los Angeles, CA 90024-6999 | 2015-05-31 |
| 1982099529 | Elif Guler Sozmen | Psychiatry & Neurology | 1624 Camden Ave, Apt 4, Los Angeles, CA 90025-3532 | 2015-03-31 |
| 1497140354 | Le Treice Keiyta Irving | Psychiatry & Neurology | 757 Westwood Plz Fl 6, Los Angeles, CA 90095-1005 | 2015-03-30 |
| 1578975637 | Tatjana Josic | Psychiatry & Neurology | 1200 N State St # C, Los Angeles, CA 90033-1029 | 2014-05-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES.
| 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.