NPIMap

Organization Active NPI

UCLA Pediatrics

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Los Angeles, CA
National Provider Identifier
1255528055
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
G22339 Issued in CA
Legal business name
UCLA PEDIATRICS
Practice address
200 Med PLZ
Ste 140-17
Los Angeles, CA 90095-3075
Phone
(310) 206-3952
Fax
(310) 206-0209
NPI assigned
Sep 26, 2007
Last updated
May 27, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
UCLA DEPARTMENT OF PEDIATRICS GROUP PRACTICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Dr. Gary Rachelefsky, M.D.NPI 1104936756
Title
Director; Executive for Caard
Phone
(310) 206-3952

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
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X G22339 CA Primary

Addresses

Primary practice location

200 Med PLZ
Ste 140-17
Los Angeles, CA 90095-3075

Mailing address

10833 Le Conte Ave
12-441 MDCC
Los Angeles, CA 90095-3075
Phone (310) 206-3952

Other names 1

  • UCLA Pediatrics-Gary Rachelefsky Former legal business name

National Provider Directory

National Provider Directory
Part of
UCLA Department of Pediatric Group Practice

Locations

10833 Le Conte Ave
#12441
Los Angeles, CA 90095
Phone (310) 206-3952

File 56114
Los Angeles, CA 90074

Practitioners & affiliated clinicians

Practitioners 93

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 93

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1255528055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "12-441 MDCC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-206-3952",
            "fax_number": "310-206-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MED PLZ",
            "address_2": "STE 140-17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-206-3952",
            "fax_number": "310-206-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCLA DEPARTMENT OF PEDIATRICS GROUP PRACTICE",
        "enumeration_date": "2007-09-26",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "RACHELEFSKY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR; EXECUTIVE FOR CAARD",
        "authorized_official_telephone_number": "310-206-3952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "CA",
            "license": "G22339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Pediatrics-Gary Rachelefsky",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 27, 2011; 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.