UNIVERSITY CHILDRENS MEDICAL GROUP (NPI# 1699950337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699950337 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CHILDRENS MEDICAL GROUP |
| Practice Address |
4650 W Sunset Blvd # 102 Los Angeles CA 90027-6062 |
| Mailing Address |
6430 W Sunset Blvd Ste 600 Los Angeles CA 90028-7909 |
| Practice Telephone | 3233612169 |
| 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 | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006667G | 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 |
| 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 |
| 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 # 102 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891281754 | Carolyn Lai | Neurological Surgery | 4650 W Sunset Blvd # 102, Los Angeles, CA 90027-6062 | 2018-07-03 |
| 1841715844 | Han Nguyen | Physician Assistant | 4650 W Sunset Blvd # 102, Los Angeles, CA 90027-6062 | 2017-08-10 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043708860 | Alexander George Chartrain | Neurological Surgery | 1200 N State St # 3300, Los Angeles, CA 90033-1083 | 2018-04-26 |
| 1750732533 | Pacific Neuroscience Institute Medical Group Inc | Neurological Surgery | 11645 Wilshire Boulevard, 6th Floor, Los Angeles, CA 90025-6807 | 2016-06-23 |
| 1568812436 | Walid Ibn Essayed | Neurological Surgery | 525 S Oxford Ave Apt 113, Los Angeles, CA 90020-4219 | 2016-06-21 |
| 1316338767 | Michelle Ariana Wedemeyer | Neurological Surgery | 1200 N State St Ste 3300, Los Angeles, CA 90033-1029 | 2015-02-06 |
| 1912317165 | Lindsey Ross | Neurological Surgery | 127 South San Vicente Boulevard, 6th Floor Ste. A66000, Los Angeles, CA 90048 | 2014-04-28 |
| 1356684948 | Tony Richmond Wang | Neurological Surgery | 300 Stein Plaza Suite 420, Los Angeles, CA 90095-0816 | 2013-04-01 |
| 1467742213 | Richard George Everson | Neurological Surgery | 300 Stein Plaza Ste 420, Los Angeles, CA 90095-8358 | 2011-04-13 |
| 1659605475 | Franklin Westhout | Neurological Surgery | 4197 Marlton Ave, Los Angeles, CA 90008-3519 | 2009-09-25 |
| 1477789881 | Gabriel E Hunt Jr Md Inc A California Professional Medical Co | Neurological Surgery | 444 San Vicente Blvd., 8th Floor, Los Angeles, CA 90048 | 2009-06-01 |
| 1578706693 | Shayan Ur Rahman | Neurological Surgery | 1505 N Edgemont St Fl 4, Los Angeles, CA 90027-5209 | 2009-04-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
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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.