Organization Active NPI

UC Regents UCLA Urology Associates

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1659517654
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UC REGENTS UCLA UROLOGY ASSOCIATES
Practice address
200 Medical PLZ
Suite 365
Los Angeles, CA 90095-0001
Phone
(310) 206-1632
NPI assigned
Dec 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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

Authorized official

Name
Prof. Jean Dekernion, M.D.
Title
Chair
Phone
(310) 301-8751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary
Special Hospital 284300000X F5519 CA

Addresses

Primary practice location

200 Medical PLZ
Suite 365
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd
Suite 200
Los Angeles, CA 90045-5632
Phone (310) 301-8708

National Provider Directory

National Provider Directory

Locations

5767 W Century Blvd
Ste 200
Los Angeles, CA 90045

NPI Registry JSON

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229817600000",
    "number": "1659517654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455632",
            "telephone_number": "310-301-8708",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "SUITE 365",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-206-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS UCLA UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A",
        "authorized_official_last_name": "DEKERNION",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "310-301-8751",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "F5519",
            "primary": false
        }
    ],
    "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 Dec 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.