Active NPI
Koyelle Papneja, MD
- Pediatric Cardiology Physician
- Los Angeles, CA
National Provider Identifier
1487270120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- A163452
- Practice address
- 200 UCLA Medical PLZ Ste 330
Los Angeles, CA 90095-1601 - Phone
- (310) 825-0867
- Fax
- (310) 825-9524
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | A163452 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 330
Los Angeles, CA 90095-1601
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
750 Welch Rd Ste 305
Palo Alto, CA 94304-1510
Phone (650) 709-9087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A163452 | CA | MD | Pediatric Cardiology Physician |
Interoperability endpoints
- kpapneja942902@direct.uclahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1487270120",
"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",
"telephone_number": "310-301-8707",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 330",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951601",
"telephone_number": "310-825-0867",
"fax_number": "310-825-9524"
}
],
"practiceLocations": [
{
"address_1": "750 Welch Rd Ste 305",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041510",
"country_code": "US",
"telephone_number": "650-709-9087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPNEJA",
"first_name": "KOYELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "A163452",
"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 Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.