NPIMap

Organization Active NPI

The Regents of the University of California

Doing business as UCLA Urology Associates

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1154389799
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UCLA Urology Associates
Practice address
200 Medical PLZ
Suite 140
Los Angeles, CA 90095-3075
Phone
(310) 794-7700
Fax
(310) 301-8751
NPI assigned
May 3, 2006
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Dr. Mark S. Litwin, M.D.NPI 1356369946
Title
Proffessor and Chair
Phone
(310) 794-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

200 Medical PLZ
Suite 140
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 794-7700

Other identifiers 2

IdentifierTypeStateIssuer
GR0066540MedicaidCA
GR0066541MedicaidCA

Other names 1

  • UCLA Urology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000949 CA Part B Supplier - Clinic/Group Practice 3678545431 Receives reassigned benefits from 58 practitioners
Practice locations: Burbank, CA; West Hills, CA; Valencia, CA; Torrance, CA; Santa Monica, CA; Northridge, CA; Los Angeles, CA; Marina del Rey, CA…

National Provider Directory

National Provider Directory

Locations

11303 W Washington Blvd
#100
Los Angeles, CA 90066
Phone (310) 391-7281

200 UCLA Medical Plz
Ste 170
Los Angeles, CA 90095
Phone (310) 825-7911

924 Westwood Plz
Los Angeles, CA 90095
Phone (310) 794-7227

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1154389799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-794-7700",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "SUITE 140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-794-7700",
            "fax_number": "310-301-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "LITWIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROFFESSOR AND CHAIR",
        "authorized_official_telephone_number": "310-794-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066540",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCLA Urology Associates",
            "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 May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.