NPIMap

Organization Active NPI

Regents Univ of Calif Los Angeles

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1427156454
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHE40975 Issued in CA
Legal business name
REGENTS UNIV OF CALIF LOS ANGELES
Practice address
200 Medical Plaza Suite 426
Los Angeles, CA 90095
Phone
(310) 794-7458
Fax
(310) 794-7463
NPI assigned
Sep 21, 2006
Last updated
Jun 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Mr. Ronald A Davis
Title
Cfo UCLA Hospital System
Phone
(310) 794-8627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHE40975 CA Primary

Addresses

Primary practice location

200 Medical Plaza Suite 426
Los Angeles, CA 90095

Mailing address

Pharmacy Business Office
757 Westwood Plaza, Room B504E
Los Angeles, CA 90095-7423
Phone (310) 794-7458

Other identifiers 4

IdentifierTypeStateIssuer
PH0000237MedicaidCA
1427156454MedicaidCA
142156454MedicaidCA
1992436OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930041829 CA DME Supplier - Pharmacy 6901856186 Practice locations: Los Angeles, CA
O20220126002959 CA Part B Supplier - Pharmacy 3173591336 Practice locations: Los Angeles, CA

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Thomas S Klitzner MD56 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

100 Medical Plz
Los Angeles, CA 90095
Phone (310) 825-2631

100 UCLA Medical Plz
Ste 630
Los Angeles, CA 90024
Phone (310) 825-8816

1010 Veteran Ave
#2212
Los Angeles, CA 90024
Phone (310) 794-1400

10920 Wilshire Blvd
Ste 1700
Los Angeles, CA 90024

200 UCLA Medical Plz
Ste 206C
Los Angeles, CA 90095
Phone (310) 825-5708

200 UCLA Medical Plz
Ste 302
Los Angeles, CA 90095
Phone (310) 794-9721

200 UCLA Medical Plz
Ste 320
Los Angeles, CA 90095
Phone (310) 794-1681

200 UCLA Medical Plz
Ste 330
Los Angeles, CA 90095
Phone (310) 267-7667

200 UCLA Medical Plz
Ste 365
Los Angeles, CA 90095
Phone (310) 206-1467

200 UCLA Medical Plz
Ste 426
Los Angeles, CA 90095
Phone (310) 206-3784

200 UCLA Medical Plz
Ste 450
Los Angeles, CA 90095
Phone (310) 825-6911

200 UCLA Medical Plz
Ste 528
Los Angeles, CA 90095
Phone (310) 267-0172

200 UCLA Medical Plz
Ste 540
Los Angeles, CA 90095
Phone (310) 825-5721

200 UCLA Medical Plz
Ste 670
Los Angeles, CA 90095
Phone (310) 794-7177

200 UCLA Medical Plz
Ste B165
Los Angeles, CA 90095
Phone (310) 206-8900

200 UCLA Medical Plz
Ste B170
Los Angeles, CA 90095
Phone (310) 794-1384

300 UCLA Medical Plz
Ste 2100
Los Angeles, CA 90095
Phone (310) 825-0177

300 UCLA Medical Plz
Ste 2400
Los Angeles, CA 90095
Phone (310) 267-8008

757 Westwood Plz
Ofc
Los Angeles, CA 90095
Phone (310) 267-8653

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Ronald Reagan UCLA Medical CenterLos Angeles, CA, CCN 050262 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 21, 2007
Resnick Neuropsychiatric Hospital at UCLALos Angeles, CA, CCN 054009 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 11, 1966
Mar 11, 1966
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 5

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

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1427156454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHARMACY BUSINESS OFFICE",
            "address_2": "757 WESTWOOD PLAZA, ROOM B504E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957423",
            "telephone_number": "310-794-7458",
            "fax_number": "310-794-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA SUITE 426",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-794-7458",
            "fax_number": "310-794-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS UNIV OF CALIF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO UCLA HOSPITAL SYSTEM",
        "authorized_official_telephone_number": "310-794-8627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHE40975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH0000237",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427156454",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142156454",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.