Active NPI
Carlos Andres Uquillas, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 136243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Stanford University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 136243 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group, Inc. | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.