Active NPI
Upp for Health
- Clinic/Center
- Los Angeles, CA
National Provider Identifier
1487205639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- UPP FOR HEALTH
- Practice address
- 12304 Santa Monica Blvd
Los Angeles, CA 90025-2551 - Phone
- (424) 281-3004
- NPI assigned
- Sep 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Lefferman, DO
- Title
- President
- Phone
- (310) 739-3004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
12304 Santa Monica Blvd
Los Angeles, CA 90025-2551
Mailing address
12304 Santa Monica Blvd
Los Angeles, CA 90025-2551
Phone (424) 281-3004
National Provider Directory
National Provider DirectoryLocations
12304 Santa Monica Blvd
West Los Angeles, CA 90025
Phone (310) 820-7197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569542400000",
"number": "1487205639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12304 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252551",
"telephone_number": "424-281-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12304 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252551",
"telephone_number": "424-281-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPP FOR HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-27",
"last_updated": "2019-09-27",
"status": "A",
"authorized_official_last_name": "LEFFERMAN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-739-3004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"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 Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.