UC REGENTS UCLA FAMILY HEALTH CENTER (NPI# 1275591802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275591802 |
| Entity Type | Organization |
| Organization Name | UC REGENTS UCLA FAMILY HEALTH CENTER |
| Practice Address |
1920 Colorado Ave Santa Monica CA 90404-3414 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3103194700 |
| Practice Fax Number | 3103018751 |
| Mailing Telephone | 3103018713 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | DR. PATRICK DOWLING (CHAIRMAN) |
| Authorized Official Telephone | 3108258234 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR005503G | 05 | |
| CA | ZZZP1939Z | 05 |
| Street Address |
1920 COLORADO AVE |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364147 | Fernando Jose Avila-garibay | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2020-04-13 |
| 1528694593 | Pinting Chen | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2020-03-20 |
| 1366905283 | Michelle Okoreeh | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2019-04-08 |
| 1245792712 | Ann Marie Hernandez | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2019-04-03 |
| 1033670138 | Olivia Taeko Ishibashi | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2019-03-29 |
| 1194286047 | Colleen O'neil-tennant | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2019-03-25 |
| 1104386069 | Spencer Mccaffrey | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2019-03-25 |
| 1437618469 | Jolie Portanova Cooperman | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2019-03-19 |
| 1649739764 | Nelson Boland | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2019-03-18 |
| 1093212334 | Amy M Richards | Student in an Organized Health Care Education/Training Program | 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1295271286 | Asal Askarinam | Family Medicine | 1260 15th St Ste 1501, Santa Monica, CA 90404-1150 | 2017-01-13 |
| 1316380769 | Juan Manuel Cabrales | Family Medicine | 1920 Colorado Ave Fl 2, Santa Monica, CA 90404-3414 | 2013-04-15 |
| 1730423229 | Lawrence M Rosen | Family Medicine | 305 Alta Ave, Santa Monica, CA 90402-2729 | 2012-11-21 |
| 1295029882 | Jenny Jie Bao | Family Medicine | 2001 Santa Monica Blvd Ste 370w, Santa Monica, CA 90404-2105 | 2011-06-01 |
| 1437391554 | Amy Gelfand | Family Medicine | 1027 Princeton St, Santa Monica, CA 90403-4701 | 2009-04-03 |
| 1740426352 | Adel E. Salawy | Family Medicine | 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 | 2009-01-02 |
| 1205081916 | Gerald Klaz | Family Medicine | 50 Village Park Way, Santa Monica, CA 90405 | 2008-11-21 |
| 1942460605 | Diane Rhee Kim | Family Medicine | 1920 Colorado Blvd., Santa Monica, CA 90404 | 2008-06-16 |
| 1831301845 | Watson Medical Inc | Family Medicine | 3201 Wilshire Blvd Ste 211, Santa Monica, CA 90403-2337 | 2007-05-03 |
| 1619199791 | Stephanie Canale | Family Medicine | 2428 Santa Monica Blvd Ste 200, Santa Monica, CA 90404-2046 | 2007-05-02 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.