REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1679918395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679918395 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Other Organization Name | UCLA ORTHOPEDIC SURGERY MED GROUP |
| Practice Address |
1000 Veteran Ave Room 22-64 Los Angeles CA 90095-2704 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3108255858 |
| Mailing Telephone | 3103018707 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | DR. JEFFREY ECKARDT (PROFESSOR AND CHAIR) |
| Authorized Official Telephone | 3107947930 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| UC Regents UCLA Orthopaedics PT Group | Doing Business As Name - Organization |
| UCLA Orthopedic Surgery Med Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521891 | Regents of The University of California | Orthopaedic Surgery | 10250 Santa Monica Blvd Ste 2450, Los Angeles, CA 90067-6593 | 2020-02-27 |
| 1013560960 | Regents of The University of California | Occupational Therapist | 4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 | 2019-07-19 |
| 1851851372 | Regents of The University of California | Orthopaedic Surgery | 3605 Alamo St Ste 200, Simi Valley, CA 93063-2186 | 2019-03-21 |
| 1235642950 | Regents of The University of California | Clinic/Center | 2521 Stockton Blvd Ste 2200, Sacramento, CA 95817-2207 | 2017-11-16 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1871989269 | Regents of The University of California | Clinic/Center | 4323 Riverside Dr, Burbank, CA 91505-4044 | 2015-04-13 |
| 1750723540 | Regents of The University of California | Podiatrist | 100 Ucla Medical Plaza Ste 460, Los Angeles, CA 90095-6970 | 2013-07-23 |
| 1427396779 | Regents of The University of California | Pharmacy | 4501 X St Rm 1008, Sacramento, CA 95817-2229 | 2013-01-22 |
| 1336487685 | Regents of The University of California | Pharmacy | 4860 Y St Rm 1200, Sacramento, CA 95817-2307 | 2013-01-22 |
| 1174758650 | Regents of The University of California | Clinical Medical Laboratory | 101 The City Dr S Bldg 23, Orange, CA 92868-3201 | 2009-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | REGENTS OF THE UNIVERSITY OF CALIFORNIA | 1111 Franklin St, Flr 10, Oakland, CA 94607 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA AT RIVERSIDE | 200 Universty Office Bldg, Riverside, CA 92521-0001 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE | 1855 Folsom St Ste 425, San Francisco, CA 94143-4249 |
| Street Address |
1000 VETERAN AVE ROOM 22-64 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290564 | Jennifer Kuen-ling King | Internal Medicine | 1000 Veteran Ave, Rehab Center 32-59, Los Angeles, CA 90095-0001 | 2005-10-25 |
| 1821630872 | Lydia Chau | Dietitian, Registered | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2019-10-10 |
| 1871150730 | Noelle Mccutchen | Social Worker | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2019-05-24 |
| 1508346883 | Elizabeth Ollen | Psychologist | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2018-08-16 |
| 1013407584 | Viviana Padilla | Occupational Therapist | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2018-05-10 |
| 1144733569 | Sohyun Christine Han | Student in an Organized Health Care Education/Training Program | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2017-11-07 |
| 1548779838 | Kristen Axelsen | Psychologist | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2017-09-29 |
| 1518417534 | Michelle J Hickey | Clinical Medical Laboratory | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2016-10-13 |
| 1376096123 | Brenda Pitchford | Counselor | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2016-07-28 |
| 1750759957 | Stephen Perez | Social Worker | 1000 Veteran Ave, Los Angeles, CA 90024-2704 | 2015-09-04 |
| 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 | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1659921054 | Nazanin Amini | Physical Therapist | 5450 W Pico Blvd Ste 202, Los Angeles, CA 90019-3997 | 2019-09-17 |
| 1609393396 | Victory Performance and Physical Therapy | Physical Therapist | 11461 W Washington Blvd Ste 1, Los Angeles, CA 90066-6014 | 2017-08-24 |
| 1740728112 | Michael Karas | Physical Therapist | 3745 Bagley Ave, Apt. 202, Los Angeles, CA 90034-7404 | 2017-02-06 |
| 1851776694 | Reliable Emg | Physical Therapist | 3450 Sawtelle Blvd Apt 140, Los Angeles, CA 90066-2163 | 2015-07-22 |
| 1568866184 | Lauren Freitas | Physical Therapist | 10877 Wilshire Blvd, Ste P1, Los Angeles, CA 90024-4413 | 2014-10-09 |
| 1700127610 | Julianne Frances Kelman | Physical Therapist | 321 N. Larchmont Blvd. #825, Larchmont Physical Therapy, Los Angeles, CA 90004-6400 | 2013-03-04 |
| 1760741342 | Kenneth Taik Kim | Physical Therapist | 3301 S Hoover St, Los Angeles, CA 90007-3557 | 2012-05-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF CALIFORNIA.
| 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.