The Regents of the University of California

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Doing business as

Gonda (Goldschmied) Vascular Center

Practice address

200 Medical PLZ
Suite #530
Los Angeles, CA 90095-0001

Phone

(310) 206-6294

NPI assigned

May 3, 2006

Last updated

Nov 25, 2020By 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

Katherine Hale

Title

Director of Finance

Phone

(310) 301-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gonda (Goldschmied) Vascular Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 16

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.

• Mark Joseph Ajalat

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1487158168

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bernardo Curi Mendes, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1760814891
  Medicare reassignment Care Compare group NPD
• Thomas Dean Curtis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1508388539
  Medicare reassignment Care Compare group NPD
• Steven M. Farley, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1750544714
  Medicare reassignment Care Compare group NPD
• Hugh Anthony Gelabert, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1174545255
  Medicare reassignment Care Compare group NPD
• Juan Carlos Jimenez, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1982643318
  Medicare reassignment Care Compare group NPD
• Peter F Lawrence, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1730190323
  Medicare reassignment Care Compare group NPD
• Eric Yu-Hsien Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1841785862
  Medicare reassignment Care Compare group NPD
• Wesley S Moore, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1053335133
  Medicare reassignment Care Compare group NPD
• Pane Aksone Nouvong, DPM

  • Foot Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1144326729
  Medicare reassignment Care Compare group NPD
• Jessica Beth O'Connell, M.D.

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1275788689
  Medicare reassignment Care Compare group NPD
• David A Rigberg, MD

  • Vascular Surgery Physician
  • Santa Monica, CA
  • NPI 1285658500
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1447218086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455632",
            "telephone_number": "310-206-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "SUITE #530",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-206-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "310-301-5311"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonda (Goldschmied) Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Regents of the University of California
• The Regents of the University of California (UCLA Dept of Medicine)
• The Regents of the University of California (UCLA Dept of Medicine)
• The Regents of the University of California (UCLA Neurology Group Practice)
• The Regents of the University of California (UCLA Neurosurgery Associates)
• The Regents of the University of California (UCLA Neurosurgery Associates)
• The Regents of the University of California (UCLA Dept of Dermatology)
• The Regents of the University of California (UCLA Head & Neck Associates)
• The Regents of the University of California (UCLA Thoracic Oncology Associates)
• The Regents of the University of California (Uclamc Home Health)

• Vascular Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.