Organization Active NPI

Jimmy T. Uy, M.D., Inc.

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1659561488
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A40328 Issued in CA
Legal business name
JIMMY T. UY, M.D., INC.
Practice address
3576 Griffith Park Blvd
Los Angeles, CA 90027-1444
Phone
(323) 662-9388
Fax
(323) 662-4945
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. Jimmy T Uy, M.D.
Title
Ceo/President
Phone
(213) 413-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A40328 CA Primary

Addresses

Primary practice location

3576 Griffith Park Blvd
Los Angeles, CA 90027-1444

Mailing address

3576 Griffith Park Blvd
Los Angeles, CA 90027-1444
Phone (323) 662-9388

Other identifiers 2

IdentifierTypeStateIssuer
00A403281MedicaidCA
A40328OtherCAMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1659561488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271444",
            "telephone_number": "323-662-9388",
            "fax_number": "323-662-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271444",
            "telephone_number": "323-662-9388",
            "fax_number": "323-662-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY T. UY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "UY",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "213-413-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A403281",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "A40328",
            "state": "CA"
        }
    ],
    "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 May 29, 2015; 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.