Regents of University of California

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

Legal business name

REGENTS OF UNIVERSITY OF CALIFORNIA

Practice address

10833 Le Conte Ave
CHS 10 -165
Los Angeles, CA 90095-1668

Phone

(310) 825-5634

Fax

(310) 206-2748

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay Mallya, DDSNPI 1538158043

Title

Professor

Phone

(310) 825-1689

Specialties & licenses 1

Addresses

Other names 1

• UCLA Dental Radiology Practice Doing business as

Locations

Practitioners 2

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

• Sanjay M Mallya, B.D.S.

  • Oral and Maxillofacial Radiology Dentistry
  • Los Angeles, CA
  • NPI 1538158043
  NPD (past) Authorized official
• Stuart C. White, DDS

  • Oral and Maxillofacial Radiology Dentistry
  • Los Angeles, CA
  • NPI 1679580575
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1356476865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE.",
            "address_2": "CHS 53-068",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-1689",
            "fax_number": "310-825-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "CHS 10 -165",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-5634",
            "fax_number": "310-206-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "MALLYA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PROFESSOR",
        "authorized_official_telephone_number": "310-825-1689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Dental Radiology Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regents of the University of California Los Angeles
• Regents of the University of California Los Angeles
• Regents of the University of California UCLA Ashe Center
• Regents of the University of UCLA Maxillofacial Prosthodontics
• Regents of Univ. of California Dental Anesthesia Service
• Regents of University of California at Los Angeles
• Regents of University of California Los Angeles
• Regents of University of California Simms Mann UCLA
• Regents Univ of Calif Los Angeles
• Regents Univ of Calif Los Angeles

• Oral and Maxillofacial Radiology Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral and Maxillofacial Radiology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.