NPIMap

Organization Active NPI

Regents Univ of Calif Los Angeles

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1295913499
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHE48971 Issued in CA
Legal business name
REGENTS UNIV OF CALIF LOS ANGELES
Practice address
757 Westwood PLZ Ste B140
Los Angeles, CA 90095-8358
Phone
(310) 267-8500
Fax
(310) 267-3661
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Ghada Ashkar
Title
Director
Phone
(310) 267-2023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHE48971 CA Primary

Addresses

Primary practice location

757 Westwood PLZ Ste B140
Los Angeles, CA 90095-8358

Mailing address

757 Westwood PLZ Ste B140
Los Angeles, CA 90095-8358
Phone (310) 267-8500

Other identifiers 2

IdentifierTypeStateIssuer
2117395OtherPK
1295913499MedicaidCA

Other names 1

  • Ronald Reagan UCLA Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930044232 CA DME Supplier - Pharmacy 6901856186 Practice locations: Los Angeles, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Regents of the Univ of Ca56 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

Locations

662 Gayley Ave
Rm B140B
Los Angeles, CA 90024
Phone (310) 267-8524

757 Westwood Plz
Ste B140
Los Angeles, CA 90095
Phone (310) 267-8500

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
California Rehabilitation InstituteLos Angeles, CA, CCN 053039 Hospital 5% Or Greater Direct Ownership Interest (10.9%) Dec 1, 2015
UCLA West Valley Medical CenterWest Hills, CA, CCN 050481 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 29, 2024
Accentcare UCLA Health LLCWest Hills, CA, CCN 057761 Home health agency 5% Or Greater Indirect Ownership Interest (30%) May 31, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1295913499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE B140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-267-8500",
            "fax_number": "310-267-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE B140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-267-8500",
            "fax_number": "310-267-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS UNIV OF CALIF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "ASHKAR",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-267-2023"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHE48971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117395",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295913499",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald Reagan UCLA Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.