Organization Active NPI

UC Regents

Doing business as UCLA Dept. of Pediatric grp practice

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1033516943
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UC REGENTS
Doing business as
UCLA Dept. of Pediatric grp practice
Practice address
10833 Le Conte
Los Angeles, CA 90095-1752
Phone
(310) 825-5904
Fax
(310) 206-8616
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UC REGENTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Dr. Sherin Devaskar, M.D..
Title
Executive Chair
Phone
(310) 825-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X CA Primary

Addresses

Primary practice location

10833 Le Conte
Los Angeles, CA 90095-1752

Mailing address

10833 Le Conte Ave
Los Angeles, CA 90095-1752
Phone (310) 825-5904

Other names 1

  • UCLA Dept. of Pediatric grp practice Doing business as

National Provider Directory

National Provider Directory
Part of
UCLA Department of Pediatric Group Practice

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1033516943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951752",
            "telephone_number": "310-825-5904",
            "fax_number": "310-206-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951752",
            "telephone_number": "310-825-5904",
            "fax_number": "310-206-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UC REGENTS",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "DEVASKAR",
        "authorized_official_first_name": "SHERIN",
        "authorized_official_title_or_position": "EXECUTIVE CHAIR",
        "authorized_official_telephone_number": "310-825-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Dept. of Pediatric grp practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2014; 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.