Organization Active NPI

UCLA Pathology and Laboratory Medicine Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
National Provider Identifier
1497732630
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP
Practice address
10833 Le Conte Avenue
Suite B-186 CHS
Los Angeles, CA 90095
Phone
(310) 794-7953
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Scott Binder, MD
Title
Professor & Sr Vice Chair
Phone
(310) 794-7953

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Immunopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZI0100X
Medical Microbiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZM0300X
Neuropathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZN0500X
Molecular Genetic Pathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0007X
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary
Chemical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0104X

Addresses

Primary practice location

10833 Le Conte Avenue
Suite B-186 CHS
Los Angeles, CA 90095

Mailing address

File 55632
Los Angeles, CA 90074
Phone (310) 794-7953

Other identifiers 2

IdentifierTypeStateIssuer
GR0083761MedicaidCA
GR0083760MedicaidCA

Other names 1

  • UC Regents UCLA Pathology & Lab Med Grp Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000698 CA Part B Supplier - Clinic/Group Practice 5597679233 Receives reassigned benefits from 71 practitioners
Practice locations: Los Angeles, CA; Westlake Village, CA; West Hills, CA; Santa Monica, CA; Panorama City, CA; Northridge, CA

National Provider Directory

National Provider Directory

Locations (25 of 43)

10833 Le Conte Ave
Rm 1P326
Los Angeles, CA 90095

10833 Le Conte Ave
Rm A3231S
Los Angeles, CA 90095

10833 Le Conte Ave
#322
Los Angeles, CA 90095

10833 Le Conte Ave
#A3259
Los Angeles, CA 90095

10833 Leconte Ave As462 Chs
Los Angeles, CA 90095

695 Charles E Young Dr S
Rm 4554
Los Angeles, CA 90095
Phone (310) 794-7537

10833 Le Conte Ave
#18170
Los Angeles, CA 90095

10833 Le Conte Ave
#A3231N
Los Angeles, CA 90095

1000 Veteran Ave
Rm 2226
Los Angeles, CA 90024
Phone (310) 794-1287

10833 Le Conte Ave
#370
Los Angeles, CA 90095
Phone (310) 267-2680

10833 Leconte Ave Chs
Los Angeles, CA 90095

924 Westwood Blvd
Ste 730
Los Angeles, CA 90024
Phone (310) 206-3563

10833 Le Conte Ave
Rm AS462
Los Angeles, CA 90095

10833 Le Conte Ave
Ste B186
Los Angeles, CA 90095
Phone (310) 794-1355

1000 Veteran Ave
#1520
Los Angeles, CA 90024
Phone (310) 206-0258

675 Charles E Young Dr S
#4736
Los Angeles, CA 90095

10833 Le Conte Ave
Ste 8240K
Los Angeles, CA 90095

10833 Le Conte Ave
#B188
Los Angeles, CA 90095

10833 Le Conte Ave
#306
Los Angeles, CA 90095

10833 Le Conte Ave
#A2179
Los Angeles, CA 90095
Phone (310) 267-3561

10833 Leconte Ave
Rm 10952 FAC
Los Angeles, CA 90095

10833 Le Conte Ave
Rm AS370
Los Angeles, CA 90095

757 Westwood Plz
Ste 1517
Los Angeles, CA 90095
Phone (310) 794-0599

10833 Le Conte Ave
Rm 27061C4
Los Angeles, CA 90095

10833 Le Conte Ave
Rm AS231A
Los Angeles, CA 90095

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1497732630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 55632",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90074",
            "telephone_number": "310-794-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVENUE",
            "address_2": "SUITE B-186 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-794-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PROFESSOR & SR VICE CHAIR",
        "authorized_official_telephone_number": "310-794-7953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZI0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Immunopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZM0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Medical Microbiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Neuropathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0104X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Chemical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083761",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Regents UCLA Pathology & Lab Med Grp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.