Individual provider Active NPI

Gary Allan Ulaner, M.D. PH.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1073730727
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A79020 Issued in CA
Practice address
1200 N State St
Los Angeles, CA 90033-1029
Phone
(323) 226-7257
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A79020 CA Primary

Addresses

Primary practice location

1200 N State St
Los Angeles, CA 90033-1029

Mailing address

4852 Via Colina
Los Angeles, CA 90042-5020

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
I20200925002581 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3971658832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Stanford University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.82

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79020CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Radiology Associates Medical Group, Inc Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Newport Center Radiology Associates Medical Group Inc Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Hoag Clinic CurrentSince Aug 31, 2020 Accepting new patients
Hoag Hospital Past Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

26672 Portola Pkwy
Ste 106
Foothill Ranch, CA 92610
Phone (949) 557-0780

19582 Beach Blvd
Ste 106
Huntington Beach, CA 92648

19582 Beach Blvd
Ste 150
Huntington Beach, CA 92648
Phone (714) 378-4992

16105 Sand Canyon Ave
Ste 215
Irvine, CA 92618
Phone (877) 422-9477

3877 Portola Pkwy
Irvine, CA 92602
Phone (949) 551-0720

16305 Sand Canyon Ave
Ste 160
Irvine, CA 92618
Phone (949) 557-0180

16305 Sand Canyon Ave
Ste 150
Irvine, CA 92618
Phone (949) 557-0170

16300 Sand Canyon Ave
Ste 301
Irvine, CA 92618
Phone (949) 453-1173

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

360 San Miguel Dr
Ste 106
Newport Beach, CA 92660
Phone (949) 721-8191

360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534

510 Superior Ave
Ste 200A
Newport Beach, CA 92663
Phone (949) 764-7363

360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660

1 Hoag Dr
Bldg 41
Newport Beach, CA 92663
Phone (949) 764-4060

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

Dept LA 21705
Pasadena, CA 91185

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

15000 Kensington Park Dr
Ste 150
Tustin, CA 92782
Phone (714) 477-8340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1073730727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852 VIA COLINA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900425020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULANER",
        "first_name": "GARY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A79020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.