Active NPI
Rajiv Jayadevan, M.D.
- Urology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A146043
- Practice address
- 200 UCLA Medical PLZ Ste 140
Los Angeles, CA 90095-8358 - Phone
- (310) 206-8164
- NPI assigned
- Apr 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Urology Physician | 208800000X | A146043 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 140
Los Angeles, CA 90095-8358
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (631) 944-1337
Other practice location 2
1260 15th St Ste 1200
Santa Monica, CA 90404-1147
Phone (310) 794-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Icahn School of Medicine at Mount Sinai, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1260 15TH St
Suite 1200
Santa Monica, CA 90404-1147
Phone (310) 451-8751
200 UCLA Medical PLZ
Suite 140
Los Angeles, CA 90095-0001
Phone (310) 794-7700
2901 Wilshire Blvd
Suite 400
Santa Monica, CA 90403-4901
Phone (310) 794-7700
Hospital & facility affiliations
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.81 of 100
- Quality
- 69.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 10
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146043 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Urology | Current | Accepting new patients |
| Regents of the University of California | Urology | Current | Accepting new patients |
| Regents of the Unviersity of California | Past | Accepting new patients | |
| UCLA Medical Group | Urology | Past | Accepting new patients |
| UCLA Urology Associates | Urology | Past | Accepting new patients |
Locations
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
200 UCLA Medical Plz
Ste 140
Los Angeles, CA 90095
Phone (310) 206-8164
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751
Interoperability endpoints
- rjayadevan353251@direct.uclahealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Santa Monica, CA
- NPI 1609249408
-
- Urology Physician
- Los Angeles, CA
- NPI 1154389799
-
- Emergency Medicine Physician
- La Jolla, CA
- NPI 1629095500
-
- Urology Physician
- Santa Monica, CA
- NPI 1285692822
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1477948800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 140",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958358",
"telephone_number": "310-206-8164"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plz",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900958358",
"country_code": "US",
"telephone_number": "631-944-1337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1260 15th St Ste 1200",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041147",
"country_code": "US",
"telephone_number": "310-794-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYADEVAN",
"first_name": "RAJIV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-02",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A146043",
"primary": true
}
],
"identifiers": [],
"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 Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.