NPIMap

Organization Active NPI

UCLA Pediatric Dentistry

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1467667618
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
UCLA PEDIATRIC DENTISTRY
Practice address
10833 Le Conte Ave
20-137
Los Angeles, CA 90095-1668
Phone
(310) 825-8755
NPI assigned
May 11, 2007
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UCLA SCHOOL OF DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Nini Tran, DDS
Title
Associate Professor
Phone
(310) 825-3578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

10833 Le Conte Ave
20-137
Los Angeles, CA 90095-1668

Mailing address

10833 Le Conte Ave.
CHS 23-021a
Los Angeles, CA 90095-1668
Phone (310) 825-8578

Other identifiers 1

IdentifierTypeStateIssuer
G91164-01OtherCADENTICAL

National Provider Directory

National Provider Directory
Tax ID family
Thomas S Klitzner MD56 organizations share this tax ID, including this one
Part of
Thomas S Klitzner MD

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

10833 Le Conte Ave
#20137
Los Angeles, CA 90095
Phone (310) 825-5619

10833 Le Conte Ave
#23021A
Los Angeles, CA 90095

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1467667618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE.",
            "address_2": "CHS 23-021A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "20-137",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCLA SCHOOL OF DENTISTRY",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NINI",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR",
        "authorized_official_telephone_number": "310-825-3578",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G91164-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.