UNIVERSITY SPORTS MEDICINE & ORTHOPEDIC SURGERY (NPI# 1871690354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871690354 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY SPORTS MEDICINE & ORTHOPEDIC SURGERY |
| Practice Address |
100 Ucla Medical Plaza Suite 440 Los Angeles CA 90095 |
| Practice Telephone | 3108247500 |
| Practice Fax Number | 3108247600 |
| Mailing Telephone | 3108247500 |
| Mailing Fax Number | 3108247600 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRISTINE ANNE EKSTRAND (MEDICAL DOCTOR) |
| Authorized Official Telephone | 3108247500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A71116 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
100 UCLA MEDICAL PLAZA SUITE 440 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209453 | Richard A Strick Md Inc | Dermatology | 100 Ucla Medical Plaza, # 660, Los Angeles, CA 90095-6994 | 2006-01-13 |
| 1982920955 | Perry Richard Klokkevold | Dentist | 100 Ucla Medical Plaza, Suite #320, Los Angeles, CA 90095-1668 | 2010-04-15 |
| 1356582746 | Jeffrey Robert Lewis | Internal Medicine | 100 Ucla Medical Plaza, Suite 700, Los Angeles, CA 90095 | 2009-03-13 |
| 1952550378 | Robert Hyman Brofman | Psychiatry & Neurology | 100 Ucla Medical Plaza, Suite 225, Los Angeles, CA 90024 | 2008-09-10 |
| 1073798286 | Rome Jutabha Md Prof Corp | Clinic/Center | 100 Ucla Medical Plaza, Suite 310, Los Angeles, CA 90095-0001 | 2008-01-07 |
| 1508062654 | Kevin Ghassemi | Internal Medicine | 100 Ucla Medical Plaza, Suite 700, Los Angeles, CA 90095-6970 | 2007-06-25 |
| 1790988061 | Breanna M Czenczelewski | Physical Therapist | 100 Ucla Medical Plaza, Suite 440, Los Angeles, CA 90095 | 2007-06-06 |
| 1306928668 | Amir Azarnivar | Internal Medicine | 100 Ucla Medical Plaza, Suite 522, Los Angeles, CA 90024 | 2006-10-19 |
| 1376631119 | Allison J Kean | Internal Medicine | 100 Ucla Medical Plaza, #630, Los Angeles, CA 90095-6988 | 2006-10-10 |
| 1447351499 | S.a.m Medicine Inc. | Pharmacist | 100 Ucla Medical Plaza, Suite 150, Los Angeles, CA 90024-6970 | 2006-09-25 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619218559 | Yung Han | Orthopaedic Surgery | 505 S Virgil Ave Ste 205, Los Angeles, CA 90020-1443 | 2013-03-01 |
| 1063769883 | Pascual Dutton | Orthopaedic Surgery | 6801 Park Ter Ste 500, Los Angeles, CA 90045-9212 | 2012-08-10 |
| 1255658332 | Carlos Andres Uquillas | Orthopaedic Surgery | Kerlan - Jobe Orthopaedic Clinic, 6801 Park Terrace, Suite 500, Los Angeles, CA 90025 | 2010-04-28 |
| 1942322060 | Rodney A Gabriel M.d. Inc | Orthopaedic Surgery | 444 S. San Vicente Blvd., Los Angeles, CA 90048 | 2007-04-06 |
| 1992801203 | David Ray Mcallister | Orthopaedic Surgery | Ucla Orthopaedic Surgery, 10833 Leconte Avenue, Los Angeles, CA 90095-0001 | 2006-09-15 |
| 1215039284 | Marc Arnold Samson | Orthopaedic Surgery | 1245 Wilshire Blvd., Suite 200, Los Angeles, CA 90017 | 2006-09-01 |
| 1447229570 | Mark Ganjianpour | Orthopaedic Surgery | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2006-03-14 |
| 1376514984 | Orr Limpisvasti | Orthopaedic Surgery | 6801 Park Terrace, Los Angeles, CA 90045-0000 | 2006-01-31 |
| 1417941535 | Julian E Girod | Orthopaedic Surgery | 5230 Pacific Concourse Dr, Suite 110, Los Angeles, CA 90045-6200 | 2005-09-02 |
| 1447787569 | Health Link Medical Group Inc | Orthopaedic Surgery | 1125 S Beverly Dr Ste 720, Los Angeles, CA 90035-1180 | 2017-05-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on UNIVERSITY SPORTS MEDICINE & ORTHOPEDIC SURGERY.
| 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.