NPIMap

Organization Active NPI

Harbor UCLA Medical Center

  • Ophthalmologic Surgery Clinic/Center
  • Carson, CA
National Provider Identifier
1336534908
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
363LXF0000X Issued in CA
Legal business name
HARBOR UCLA MEDICAL CENTER
Practice address
1000 W Carson St
Ophthalmology Clinic Box 6
Carson, CA 90810-1408
Phone
(310) 222-2735
NPI assigned
Apr 1, 2015
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Evangeline Ojales, NURSE PRACTITIONERNPI 1023405081
Title
NP
Phone
(818) 693-4458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 363LXF0000X CA Primary

Addresses

Primary practice location

1000 W Carson St
Ophthalmology Clinic Box 6
Carson, CA 90810-1408

Mailing address

1000 W Carson St
Ophthalmology Clinic Box 6
Carson, CA 90810-1408
Phone (310) 222-2735

Other names 1

  • Harbor UCLA Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Harbor UCLA Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 W Carson St
#6
Carson, CA 90810
Phone (310) 222-2735

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1336534908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "OPHTHALMOLOGY CLINIC BOX 6",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101408",
            "telephone_number": "310-222-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "OPHTHALMOLOGY CLINIC BOX 6",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101408",
            "telephone_number": "310-222-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR UCLA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "OJALES",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "818-693-4458",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "363LXF0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor UCLA Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.