THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1689692303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689692303 |
| Entity Type | Organization |
| Organization Name | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Other Organization Name | UCLA DENTAL ORAL SURGERY ASSOCIATES |
| Practice Address |
10833 Le Conte Ave #a0-156 Los Angeles CA 90095-3075 |
| Mailing Address |
10833 Le Conte Ave A0-156 Los Angeles CA 90095-3075 |
| Practice Telephone | 3108250834 |
| Practice Fax Number | 3107942198 |
| Mailing Telephone | 3108250834 |
| Mailing Fax Number | 3107942198 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-07-13 |
| Authorized Official Name | ALAN L FELSENFELD (CLINIC DIRECTOR) |
| Authorized Official Telephone | 3108250834 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | FACULTY GROUP DENTAL PRACTICE AT UCLA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
24545 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL PROVIDER NUMBER | G9195801 | 01 |
| Other Name | Type Code |
|---|---|
| UCLA Dental Oral Surgery Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1689200305 | The Regents of The University of California | Clinic/Center | 27235 Tourney Rd Ste 1100, Valencia, CA 91355-5908 | 2020-03-13 |
| 1740831437 | The Regents of The University of California | Clinic/Center | 25775 Mcbean Pkwy Ste 115, Valencia, CA 91355-3702 | 2019-09-24 |
| 1619431244 | The Regents of The University of California | Clinic/Center | 7710 El Camino Real Ste F, Carlsbad, CA 92009-8506 | 2019-01-28 |
| 1801103619 | The Regents of The University of California | Psychologist | 910 Vine Street, Los Angeles, CA 90038-2702 | 2010-09-01 |
| 1558699249 | The Regents of The University of California | Psychologist | 2191 Franz Hl, Los Angeles, CA 90095 | 2009-11-18 |
| 1689723272 | The Regents of The University of California | Ambulance | 1212 Saasb, Ucsb, Santa Barbara, CA 93106-2003 | 2007-01-10 |
| 1437117074 | The Regents of The University of California | Psychiatry & Neurology | 300 Ucla Medical Plz, Suite B200, Los Angeles, CA 90095-8346 | 2006-05-03 |
| 1235107566 | The Regents of The University of California | Internal Medicine | 200 Medical Plaza, Suite 365,530,420,250,120,214, Los Angeles, CA 90095-0001 | 2006-03-11 |
| 1659363208 | The Regents of The University of California | Home Health | 1010 Veteran Ave, #2212, Los Angeles, CA 90095-0001 | 2005-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA | 1111 Franklin St 12th Fl, Oakland, CA 94607-5201 |
| Street Address |
10833 LE CONTE AVE #A0-156 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761942 | Dennis Goldfinger | Specialist | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2005-06-21 |
| 1972129427 | Matthew Joseph Heinz | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-06-21 |
| 1255955803 | Airton D Soares | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1073137626 | Gonzalo Nicolas Olaverria Salavaggione | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1780204990 | Maira Hinojosa | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-17 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1972122778 | Mojan Mirnia | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-11 |
| 1902435779 | Kaitlin Elizabeth Fusco | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-03 |
| 1487283313 | Jonathan Douglas Gatto | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-02 |
| 1578191839 | Abhishek Venkataramana | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-1430 | 2020-03-31 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1346803897 | Jason Yoo Dds Inc | Dentist | 3660 Wilshire Blvd Ste 102, Los Angeles, CA 90010-2716 | 2019-04-19 |
| 1003384579 | David Cedeno Md Dds Professional Corporation | Dentist | 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017-4006 | 2018-11-02 |
| 1043747827 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd # 200, Los Angeles, CA 90006-2807 | 2017-05-11 |
| 1699168583 | Michael Issakharian | Dentist | 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948 | 2015-03-16 |
| 1962829143 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2807 | 2014-03-25 |
| 1447697107 | Samuel Liu | Dentist | 11600 Wilshire Blvd Ste 316, Los Angeles, CA 90025 | 2013-06-04 |
| 1215291059 | Steve Lim | Dentist | 722 S Los Angeles St Apt 415, Los Angeles, CA 90014-4507 | 2012-06-26 |
| 1952663080 | William H Noh | Dentist | 3640 Wilshire Blvd Apt 236, Los Angeles, CA 90010-2644 | 2012-06-14 |
| 1225322019 | Kevin Coppelson | Dentist | 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024 | 2011-06-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on THE 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.