The Regents of the University of California

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00000 Issued in CA

Legal business name

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Doing business as

UCLA Head & Neck Associates

Practice address

200 Medical Plaza
Suite 550
Los Angeles, CA 90095

Phone

(310) 203-3388

Fax

(310) 301-8751

NPI assigned

May 3, 2006

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Ross Sachs

Title

Cao

Phone

(310) 825-5741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UCLA Head & Neck Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

House Children's Hearing Center of UCLA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Regents of the University of California

  dba House Children's Hearing Center of UCLA

  • Audiologist
  • Los Angeles, CA
  • NPI 1962800235
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Abdelkarim Aboueisha, MD

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1316678881
  Medicare reassignment Care Compare group NPD
• Gerald Spencer Berke

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1174537575
  Medicare reassignment Care Compare group NPD
• Daniel Morris Beswick, MD

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1831455328
  Medicare reassignment Care Compare group NPD
• Keith Edward Blackwell, MD

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1669496964
  Medicare reassignment Care Compare group NPD
• Janice Erica Chang

  • Otolaryngology Physician
  • Torrance, CA
  • NPI 1154740470
  Medicare reassignment Care Compare group NPD
• Dinesh Khatri Chhetri, MD

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1598878753
  Medicare reassignment Care Compare group NPD
• Oliver Holger Gantz, M.D.

  • Otolaryngology Physician
  • Thousand Oaks, CA
  • NPI 1952758260
  Medicare reassignment Care Compare group NPD
• Quinton Gopen, M.D.

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1114955788
  Medicare reassignment Care Compare group NPD
• Michael Anthony Holliday, M.D.

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1831414234
  Medicare reassignment Care Compare group NPD
• Akira Ishiyama, MD

  • Otolaryngic Allergy Physician
  • Los Angeles, CA
  • NPI 1932125044
  Medicare reassignment Care Compare group NPD
• Gail Patrice Ishiyama, MD

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1639194038

  Surgery

  Medicare reassignment Care Compare group NPD
• Sohit Paul Kanotra, M.D.

  • Otolaryngology Physician
  • Beverly Hills, CA
  • NPI 1003120718
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1619935251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 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 MEDICAL PLAZA",
            "address_2": "SUITE 550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-203-3388",
            "fax_number": "310-301-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SACHS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "310-825-5741"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Head & Neck Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Regents of the University of California (UCLA Neurology Group Practice)
• The Regents of the University of California (UCLA Neurosurgery Associates)
• The Regents of the University of California (Gonda (Goldschmied) Vascular Center)
• The Regents of the University of California (UCLA Neurosurgery Associates)
• The Regents of the University of California (UCLA Dept of Dermatology)
• The Regents of the University of California (UCLA Thoracic Oncology Associates)
• The Regents of the University of California (Uclamc Home Health)
• The Regents of the University of California (UCLA Dental Oral Surgery Associates)
• The Regents of the University of California (Dental Practice UCLA Faculty Group)
• The Regents of the University of California (UCLA Rad-Onc Group Practice)

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.