Active NPI
Umansky Medical Management, Inc.
- Ambulatory Surgical Clinic/Center
- La Jolla, CA
National Provider Identifier
1669851085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- UMANSKY MEDICAL MANAGEMENT, INC.
- Practice address
- 4150 Regents Park Row
Siute #260
La Jolla, CA 92037-9124 - Phone
- (858) 550-9697
- Fax
- (858) 550-9698
- NPI assigned
- May 19, 2015
- Last updated
- May 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William S. Umansky, MD
- Title
- Owner
- Phone
- (858) 550-9697
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
4150 Regents Park Row
Siute #260
La Jolla, CA 92037-9124
Mailing address
4150 Regents Park Row
Siute #260
La Jolla, CA 92037-9124
Phone (858) 550-9697
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GX766Z | Other | CA | MEDICARE INDIVIDUAL PTAN |
| 1619048261 | Other | CA | INDIVIDUAL NPI |
| 1568716728 | Other | CA | GROUP NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- La Jolla, CA
- NPI 1619048261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431993600000",
"number": "1669851085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 REGENTS PARK ROW",
"address_2": "SIUTE #260",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920379124",
"telephone_number": "858-550-9697",
"fax_number": "858-550-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 REGENTS PARK ROW",
"address_2": "SIUTE #260",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920379124",
"telephone_number": "858-550-9697",
"fax_number": "858-550-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UMANSKY MEDICAL MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A",
"authorized_official_last_name": "UMANSKY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-550-9697",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "GX766Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1619048261",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1568716728",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.