Regents of the University of California

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Practice address

200 Medical PLZ
Suite 465
Los Angeles, CA 90095-6960

Phone

(310) 825-0065

Fax

(310) 794-7933

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Reza Jarrahy, MD

Title

HS Clinical Professor

Phone

(310) 825-0065

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Plastic Surgery Group of UCLA Doing business as

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1255396602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455632",
            "telephone_number": "310-301-8708",
            "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 465",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956960",
            "telephone_number": "310-825-0065",
            "fax_number": "310-794-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "JARRAHY",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "HS CLINICAL PROFESSOR",
        "authorized_official_telephone_number": "310-825-0065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0067460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Group of UCLA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plastic Surgery Group of UCLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regents of the Univ of California
• Regents of the Univ. of California UCLA Intergrated Provider Network
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California

• Plastic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.