NPIMap

Organization Active NPI

UC Regents UCLA DMPG Dermatology

  • Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1407825128
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
UC REGENTS UCLA DMPG DERMATOLOGY
Practice address
1131 Wilshire Blvd
UC Regents UCLA DMPG Dermatology Suite 200
Santa Monica, CA 90401-2061
Phone
(310) 917-3376
NPI assigned
Mar 15, 2006
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Dr. Robert K Oye, MD
Title
Vice Chair of Clinical Services
Phone
(310) 206-0644

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
MOHS-Micrographic Surgery Physician 207ND0101X NU
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X NU

Addresses

Primary practice location

1131 Wilshire Blvd
UC Regents UCLA DMPG Dermatology Suite 200
Santa Monica, CA 90401-2061

Mailing address

PO Box 24DD5 Westwood Station
Los Angeles, CA 90024
Phone (310) 301-8708

Other identifiers 1

IdentifierTypeStateIssuer
W11919AOtherCAMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1407825128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24DD5 WESTWOOD STATION",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-301-8708",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD",
            "address_2": "UC REGENTS UCLA DMPG DERMATOLOGY SUITE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012061",
            "telephone_number": "310-917-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS UCLA DMPG DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "OYE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE CHAIR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "310-206-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "W11919A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.