REGENTS UNIVERSITY OF CALIFORNIA (NPI# 1710287297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710287297 |
| Entity Type | Organization |
| Organization Name | REGENTS UNIVERSITY OF CALIFORNIA |
| Other Organization Name | UCLA CPN SANTA MONICA BAY PHYSICIANS |
| Practice Address |
200 Medical Plaza Suites 265 Los Angeles CA 90095-0001 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3108250867 |
| Mailing Telephone | 3104592363 |
| Mailing Fax Number | 3104591517 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | BERNARD J. KATZ (VICE CHAIR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 3104175900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | CA | Allopathic & Osteopathic Physicians | |
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
CA | Allopathic & Osteopathic Physicians | |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
CA | Allopathic & Osteopathic Physicians | |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
CA | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | CA | Allopathic & Osteopathic Physicians | |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
CA | Allopathic & Osteopathic Physicians | |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
CA | Allopathic & Osteopathic Physicians | |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
CA | Allopathic & Osteopathic Physicians | |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
CA | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
CA | Allopathic & Osteopathic Physicians | |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
CA | Allopathic & Osteopathic Physicians | |
| N | 208600000X | Surgery | CA | Allopathic & Osteopathic Physicians | |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
CA | Ambulatory Health Care Facilities | |
| Y | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCLA CPN Santa Monica Bay Physicians | Doing Business As Name - Organization |
| Street Address |
200 MEDICAL PLAZA SUITES 265 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.