Active NPI
UC Regents
Doing business as UCLA Dept. of Pediatric grp practice
- Multi-Specialty Clinic/Center
- Los Angeles, CA
National Provider Identifier
1033516943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- UC REGENTS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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"
}
]
}
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- UC Regents (UCLA Dept of Pediatric Grp Practice)
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- UC Regents Pharmacology and Nuclear Medicine Practice Group
- UC Regents UCLA Department of Medicine Prof Group
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.