NPIMap

Organization Active NPI

Regents of the University of California

Doing business as UCLA Orthopedic Surgery Med Group

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1679918395
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UCLA Orthopedic Surgery Med Group
Practice address
1000 Veteran Ave
Room 22-64
Los Angeles, CA 90095-2704
Phone
(310) 825-5858
NPI assigned
May 8, 2013
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Dr. Jeffrey Eckardt, MD
Title
Professor and Chair
Phone
(310) 794-7930

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

1000 Veteran Ave
Room 22-64
Los Angeles, CA 90095-2704

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other names 1

  • UCLA Orthopedic Surgery Med Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040112000584 CA Part B Supplier - Clinic/Group Practice 2062312291 Receives reassigned benefits from 78 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Monica, CA; Rolling Hills Estates, CA; Thousand Oaks, CA; Torrance, CA; Valencia, CA; West Hills, CA; Los Angeles, CA; Northridge, CA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
UCLA Orthopaedic Surg Assoc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

100 Medical Plz
Ste 755
Los Angeles, CA 90095
Phone (310) 206-2386

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1679918395",
    "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",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VETERAN AVE",
            "address_2": "ROOM 22-64",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952704",
            "telephone_number": "310-825-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "ECKARDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PROFESSOR AND CHAIR",
        "authorized_official_telephone_number": "310-794-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Orthopedic Surgery Med Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2019; 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.