NPIMap

Organization Active NPI

Regents Univ of Calif Los Angeles

Doing business as UCLA School of Nursing Health Center

  • Community Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1285893776
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
960000279 Issued in CA
Legal business name
REGENTS UNIV OF CALIF LOS ANGELES
Doing business as
UCLA School of Nursing Health Center
Practice address
545 S San Pedro St
Los Angeles, CA 90013-2101
Phone
(213) 673-4849
Fax
(213) 673-4581
NPI assigned
Jun 9, 2008
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Adeline Nyamathi, ANP, PHD, FAAN
Title
Administrator/Associate Dean
Phone
(310) 206-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 960000279 CA Primary

Addresses

Primary practice location

545 S San Pedro St
Los Angeles, CA 90013-2101

Mailing address

545 S San Pedro St
Los Angeles, CA 90013-2101
Phone (213) 673-4849

Other identifiers 1

IdentifierTypeStateIssuer
EAP70366FOtherCAEAPC EXPANDED ACCESS TO PRIMARY CARE

Other names 1

  • UCLA School of Nursing Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285893776. Details of each certification follow.

  • CCN 751839 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 751839

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UCLA SCHOOL OF NURSING HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 21, 2015
Last certification
Dec 21, 2015
Ownership / control type
For profit – corporation
Facility address
545 South San Pedro Street
Los Angeles, CA 90013

National Provider Directory

National Provider Directory
Tax ID family
UCLA Facultydental Pra56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1285893776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132101",
            "telephone_number": "213-673-4849",
            "fax_number": "213-673-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132101",
            "telephone_number": "213-673-4849",
            "fax_number": "213-673-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS UNIV OF CALIF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "NYAMATHI",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ASSOCIATE DEAN",
        "authorized_official_telephone_number": "310-206-7433",
        "authorized_official_credential": "ANP, PHD, FAAN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "960000279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC EXPANDED ACCESS TO PRIMARY CARE",
            "identifier": "EAP70366F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA School of Nursing Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.