UCLA David Gerffen

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

A117646 Issued in CA

Legal business name

UCLA DAVID GERFFEN

Practice address

245 N 15TH St
Philadelphia, PA 19102-1101

Phone

(215) 762-3585

Fax

(215) 762-3058

NPI assigned

Oct 29, 2008

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Golam R. Berenji, MD

Title

Program Driector

Phone

(310) 478-3711

Specialties & licenses 2

Addresses

Other names 1

• Golam Berenji, MD Other name

Tax ID family

UCLA Facultydental Pra56 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1316190788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 951722, 12-138 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-6816",
            "fax_number": "310-825-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-3585",
            "fax_number": "215-762-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA DAVID GERFFEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BERENJI",
        "authorized_official_first_name": "GOLAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PROGRAM DRIECTOR",
        "authorized_official_telephone_number": "310-478-3711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "MT1936988",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A117646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golam Berenji, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• U. of PA Student Health Service
• Uber Care Home Health LLC
• Maria O Uberti-Benz, MD
• Amber Nicole Ucci
• Domingo Ernesto Uceda, MD
• Ucp of Philadelphia
• Ashlesha Satish Udare, M.B.B.S.,M.D.,D.N.B.
• Syraj Uddin
• Cordelia Nkolika Uddoh, MD
• James Udell, MD

• General Acute Care Hospital in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Acute Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.