Organization Active NPI

Arthur Ashe Student Health and Wellness Center

  • Student Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1033243753
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
380579 Issued in CA
Legal business name
ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER
Practice address
221 West Wood Plaza
Los Angeles, CA 90024-1703
Phone
(310) 794-7283
Fax
(310) 267-1996
NPI assigned
Mar 15, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sam Brown
Title
Hiipa Coordinator
Phone
(310) 206-6356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 380579 CA Primary

Addresses

Primary practice location

221 West Wood Plaza
Los Angeles, CA 90024-1703

Mailing address

Box 951703
Los Angeles, CA 90024-1703
Phone (310) 794-7283

Other names 1

  • UCLA Student Health Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1033243753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 951703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900241703",
            "telephone_number": "310-794-7283",
            "fax_number": "310-267-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WEST WOOD PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900241703",
            "telephone_number": "310-794-7283",
            "fax_number": "310-267-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "HIIPA COORDINATOR",
        "authorized_official_telephone_number": "310-206-6356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "380579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Student Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.