REGENTS OF THE UNIVERSITY OF CALIFONRIA UCLA PHARM & NM PRACTICE GROUP (NPI# 1851463723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851463723 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFONRIA UCLA PHARM & NM PRACTICE GROUP |
| Other Organization Name | UC REGENTS DEPARTMENT OF PHARMACOLOGY AND NUCLEAR MEDICINE PRACTICE GR |
| Practice Address |
200 Medical Plz Suite B114 Los Angeles CA 90095-8344 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107949513 |
| Practice Fax Number | 3102672538 |
| Mailing Fax Number | 3103018751 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | CHRISTINE WANG (CAO) |
| Authorized Official Telephone | 3102671188 |
| Is Organization Subpart | Y |
| Parent Organization Name | UC REGIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0903X |
Nuclear Medicine Specialization: In Vivo & In Vitro Nuclear Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0059610 | 05 |
| Other Name | Type Code |
|---|---|
| UC REGENTS DEPARTMENT OF PHARMACOLOGY AND NUCLEAR MEDICINE PRACTICE GR | Doing Business As Name - Organization |
| Street Address |
200 MEDICAL PLZ SUITE B114 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-8344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789287 | Afshin Akhavan Safa | Radiology | 200 Medical Plz, Suite B265, Los Angeles, CA 90095-0001 | 2005-06-13 |
| 1700316239 | Andrew Scott | Pharmacy | 200 Medical Plz, Los Angeles, CA 90095-0001 | 2017-06-18 |
| 1861943037 | Rebecca Gebremichael | Audiologist | 200 Medical Plz, 540, Los Angeles, CA 90095-0001 | 2016-10-21 |
| 1649640707 | Mehdi Mohamadnejad | Internal Medicine | 200 Medical Plz, Suite 365 C, Los Angeles, CA 90095-0001 | 2015-10-01 |
| 1154799542 | Gerd Ken Herrmann | Nuclear Medicine | 200 Medical Plz, Suite B114, Los Angeles, CA 90095-0001 | 2015-09-02 |
| 1902291354 | Miranda Westfall | Dietitian, Registered | 200 Medical Plz, Suite 265, Los Angeles, CA 90095-0001 | 2015-04-02 |
| 1508255191 | Nicole Anne Schussel | Speech-Language Pathologist | 200 Medical Plz, Suite 540, Los Angeles, CA 90095-0001 | 2015-01-20 |
| 1821492414 | Sherly Cherian | Dietitian, Registered | 200 Medical Plz, Suite 530, Los Angeles, CA 90095-0001 | 2014-10-10 |
| 1548502644 | Lisa Kay Tritico | General Acute Care Hospital | 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 | 2013-03-27 |
| 1184966210 | Ucla Health Systems | Clinic/Center | 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 | 2013-03-27 |
| Find all providers in the same location | ||||
| 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 | 207UN0903X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | In Vivo & In Vitro Nuclear Medicine |
| A nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215009188 | Heinrich Rudiger Schelbert | Nuclear Medicine | 10833 Le Conte Ave Ar105 Chs, Los Angeles, CA 90085 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043369093 | Arnold Berkowitz | Nuclear Medicine | 39602 Ramshorn Dr, Murrieta, CA 92563-5561 | 2007-01-09 |
| 1184638686 | Vishnu V Bobba | Nuclear Medicine | 2615 East Clinton Avenue, Va Central California Healthcare System, Fresno, CA 93703-2223 | 2006-07-28 |
| 1417050071 | Temecula Valley Nuclear Medical Corporation | Nuclear Medicine | 25485 Medical Center Dr, Suite 102, Murrieta, CA 92562-6900 | 2006-09-07 |
| 1033131982 | Sherief H. Gamie | Nuclear Medicine | 2801 Atlantic Ave, Attn: Nuclear Medicine Department, Long Beach, CA 90806-1701 | 2006-07-23 |
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF CALIFONRIA UCLA PHARM & NM PRACTICE 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.