Regents of the University of California UCLA Ashe Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

REGENTS OF THE UNIVERSITY OF CALIFORNIA UCLA ASHE CENTER

Doing business as

Arthur Ashe Student Health and Wellness Center

Practice address

221 Westwood Plaza
Los Angeles, CA 90095-1703

Phone

(310) 825-4073

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By 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

John C. Bollard

Title

Coo/ Co-Executive Director

Phone

(310) 206-9855

Specialties & licenses 1

Addresses

Other names 1

• Arthur Ashe Student Health and Wellness Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1659961720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951703",
            "telephone_number": "310-206-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951703",
            "telephone_number": "310-825-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA UCLA ASHE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "BOLLARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "COO/ CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-206-9855"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://shb.ais.ucla.edu/shibboleth-idp/profile/SAML2/Redirect/SSO?execution=e1s2",
            "affiliation": "N",
            "endpointDescription": "Point and Click Solutions",
            "address_1": "221 Westwood Plaza",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900951703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Arthur Ashe Student Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Regents of University of California (UCLA Dental Radiology Practice)
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• Regents of University of California Los Angeles (UCLA Orofacial Pain Clinic)

• Student Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Student Health Clinic/Center in California

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

Verify at the official NPI Registry.