NPIMap

Organization Active NPI

Regents Univ of Calif Los Angeles

Doing business as Ronald Reagan UCLAMC

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1124327853
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
930000165 Issued in CA
Legal business name
REGENTS UNIV OF CALIF LOS ANGELES
Doing business as
Ronald Reagan UCLAMC
Practice address
757 Westwood PLZ
2ND Floor, Pre Treatment Unit, Post Acute Care Unit
Los Angeles, CA 90095-1730
Phone
(310) 267-8644
Fax
(310) 267-3581
NPI assigned
Mar 21, 2011
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Mr. Paul Alvin Staton
Title
Chief Financial Officer
Phone
(310) 267-9308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 930000165 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
2ND Floor, Pre Treatment Unit, Post Acute Care Unit
Los Angeles, CA 90095-1730

Mailing address

757 Westwood PLZ
Los Angeles, CA 90095-1730
Phone (310) 794-6556

Other names 1

  • Ronald Reagan UCLAMC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael C Graves MD56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

757 Westwood Plz
Fl 2
Los Angeles, CA 90095
Phone (310) 267-8644

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1124327853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951730",
            "telephone_number": "310-794-6556",
            "fax_number": "310-794-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "2ND FLOOR, PRE TREATMENT UNIT, POST ACUTE CARE UNIT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951730",
            "telephone_number": "310-267-8644",
            "fax_number": "310-267-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS UNIV OF CALIF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "310-267-9308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "930000165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald Reagan UCLAMC",
            "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 Jan 31, 2018; 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.