NPIMap

Organization Active NPI

The Regents of the University of California

Doing business as UCLA Dental Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
National Provider Identifier
1689692303
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
24545 Issued in CA
Legal business name
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UCLA Dental Oral Surgery Associates
Practice address
10833 Le Conte Ave # A0-156C
Los Angeles, CA 90095-3075
Phone
(310) 825-0834
Fax
(310) 794-2198
NPI assigned
Jul 18, 2006
Organization subpart
Yes
Parent organization
FACULTY GROUP DENTAL PRACTICE AT UCLAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Dr. Wayne Ozaki, DDSNPI 1710019781
Title
CLM Professor
Phone
(310) 825-3442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 24545 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave # A0-156C
Los Angeles, CA 90095-3075

Mailing address

10833 Le Conte Ave
200 Medical Plaza, Suite 460
Los Angeles, CA 90095-1668
Phone (310) 825-3442

Other identifiers 1

IdentifierTypeStateIssuer
G9195801OtherCADENTI-CAL PROVIDER NUMBER

Other names 1

  • UCLA Dental Oral Surgery Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000254 CA Part B Supplier - Clinic/Group Practice 8820268063 Receives reassigned benefits from 8 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Part of
UCLA Faculty Group Dental Practice

Locations

10833 Le Conte Ave
Rm Ao
Los Angeles, CA 90095
Phone (310) 825-0834

10833 Le Conte Ave
#A156C
Los Angeles, CA 90095
Phone (310) 825-0834

10833 Le Conte Ave
Ste 460
Los Angeles, CA 90095

10833 Leconte Ave
Rm AO156C
Los Angeles, CA 90095

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1689692303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "200 MEDICAL PLAZA, SUITE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-3442",
            "fax_number": "310-794-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE # A0-156C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-0834",
            "fax_number": "310-794-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FACULTY GROUP DENTAL PRACTICE AT UCLA",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "OZAKI",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CLM PROFESSOR",
        "authorized_official_telephone_number": "310-825-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "24545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G9195801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Dental Oral Surgery Associates",
            "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 Oct 2, 2025; 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.