Individual provider Active NPI

Robert Y Uyeda, MD

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1073557294
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G34366 Issued in CA
Practice address
465 North Roxbury Drive
#1012
Beverly Hills, CA 90210-4213
Phone
(310) 271-2178
Fax
(310) 271-2169
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G34366 CA Primary

Addresses

Primary practice location

465 North Roxbury Drive
#1012
Beverly Hills, CA 90210-4213

Mailing address

1950 Sawtelle Blvd
#145
Los Angeles, CA 90025-7014
Phone (310) 271-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313002750 CA Practitioner - General Practice 0143252387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G34366CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Health Centers Inc CurrentSince Jan 23, 2024 Accepting new patients
Comprehensive Community Health Centers, Inc CurrentSince Jan 23, 2024 Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1073557294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD",
            "address_2": "#145",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257014",
            "telephone_number": "310-271-2178",
            "fax_number": "310-575-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NORTH ROXBURY DRIVE",
            "address_2": "#1012",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104213",
            "telephone_number": "310-271-2178",
            "fax_number": "310-271-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYEDA",
        "first_name": "ROBERT",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G34366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.