Individual provider Active NPI

Carlos Andres Uquillas, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Angeles, CA
National Provider Identifier
1255658332
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
136243 Issued in CA
Practice address
Kerlan - Jobe Orthopaedic Clinic
6801 Park Terrace , Suite 500
Los Angeles, CA 90025
Phone
(310) 665-7235
Fax
(844) 364-1318
NPI assigned
Apr 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 136243 CA Primary

Addresses

Primary practice location

Kerlan - Jobe Orthopaedic Clinic
6801 Park Terrace , Suite 500
Los Angeles, CA 90025

Mailing address

Kerlan - Jobe Orthopaedic Clinic
6801 Park Terrace , Suite 500
Los Angeles, CA 90025
Phone (310) 665-7235

Other practice location 1

18133 Ventura Blvd Ste 401
Tarzana, CA 91356-3645
Phone (424) 314-7784

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
I20150825002977 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1951617778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Stanford University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

6801 Park Ter
Suite 300
Los Angeles, CA 90045-9212
Phone (310) 655-7200

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136243CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Oct 28, 2017 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children CurrentSince Oct 28, 2017 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

909 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1255658332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KERLAN - JOBE ORTHOPAEDIC CLINIC",
            "address_2": "6801 PARK TERRACE , SUITE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-665-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KERLAN - JOBE ORTHOPAEDIC CLINIC",
            "address_2": "6801 PARK TERRACE , SUITE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-665-7235",
            "fax_number": "844-364-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18133 Ventura Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563645",
            "country_code": "US",
            "telephone_number": "424-314-7784",
            "fax_number": "424-314-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UQUILLAS",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "136243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.