Individual provider Active NPI

Puja Venkat, M.D.

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1144587742
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
TRN18967 Issued in FL
Practice address
200 Medical PLZ Ste B265
Los Angeles, CA 90095-9416
Phone
(310) 825-9775
Fax
(310) 794-1984
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X TRN18967 FL Primary

Addresses

Primary practice location

200 Medical PLZ Ste B265
Los Angeles, CA 90095-9416

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

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
I20170718002199 CA Practitioner - Radiation Oncology 2769632967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Toledo Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians

Practice addresses (Care Compare)

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN18967FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Radiation Oncology CurrentSince Jul 5, 2017 Accepting new patients
UCLA Radiology Medical Group Radiation Oncology CurrentSince Jul 6, 2021 Accepting new patients
The Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

3951 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 799-3196

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1338 S Hope St
Ste A
Los Angeles, CA 90015

200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

1223 16th St
Ste 1100
Santa Monica, CA 90404
Phone (310) 794-4733

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Interoperability endpoints

  • Direct secure messaging: pvenkat534801@direct.uclahealth.org

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 4

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144587742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ STE B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900959416",
            "telephone_number": "310-825-9775",
            "fax_number": "310-794-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKAT",
        "first_name": "PUJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "TRN18967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.