REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1730304536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730304536 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Other Organization Name | BRUIN HEALTH PHARMACY |
| Practice Address |
308 Westwood Plz # A-250 Los Angeles CA 90095-1703 |
| Practice Telephone | 3102062146 |
| Practice Fax Number | 3102672014 |
| Mailing Telephone | 3102062146 |
| Mailing Fax Number | 3102672014 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-10-20 |
| Authorized Official Name | DR. JASON JAVAHERIFAR (PHARMACY MANAGER) |
| Authorized Official Telephone | 3102062146 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHE54650 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 5613244 | 01 | |
| DEA NUMBER | BU5668681 | 01 | |
| CA | PHARMACY LICENSE NUMBER | PHE54650 | 01 |
| Other Name | Type Code |
|---|---|
| Bruin Health Pharmacy | 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 |
308 WESTWOOD PLZ # A-250 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-1703 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820485 | Kaiser Foundation Health Plan Inc | Pharmacy | 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 | 2020-04-24 |
| 1164042453 | Clover Care Pharmacy Inc | Pharmacy | 266 S Harvard Blvd Ste 140, Los Angeles, CA 90004-4389 | 2020-04-16 |
| 1831724244 | Pharmedquest Pharmacy Services | Pharmacy | 325 E. 7th Street, Room 101, Los Angeles, CA 90014-9001 | 2020-03-05 |
| 1568004083 | Ema Healthcare, Inc | Pharmacy | 447a E El Segundo Blvd, Los Angeles, CA 90061-2741 | 2019-10-16 |
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1538710025 | Pharmedquest Pharmacy Services | Pharmacy | 954 N Vermont Ave # 132, Los Angeles, CA 90029-3529 | 2019-09-25 |
| 1033604178 | Emily Wong | Pharmacy | 640 N Broadway Ste 3, Los Angeles, CA 90012-2815 | 2018-06-29 |
| 1447700737 | T & T Care, Inc | Pharmacy | 2015 Wilshire Blvd, Los Angeles, CA 90057-3503 | 2016-10-11 |
| 1851847982 | South Central Family Health Center | Pharmacy | 1109 E Vernon Ave, Los Angeles, CA 90011-3718 | 2016-08-29 |
| 1497109318 | Anita Ashoori | Pharmacy | 1520 Camden Ave, Los Angeles, CA 90025-3463 | 2016-04-17 |
| 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.