The Regents of the University of California

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Doing business as

UCLA Dept of Medicine

Practice address

23815 Stuart Ranch Rd Ste 301
Malibu, CA 90265-4861

Phone

(424) 266-7516

Fax

(103) 170-0353

NPI assigned

Feb 24, 2021

Last updated

Mar 29, 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

Katherine Hale

Title

Director of Accounting

Phone

(310) 301-5311

Specialties & licenses 1

Addresses

Other names 1

• UCLA DEPT OF MEDICINE Doing business as

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1710571369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23815 STUART RANCH RD STE 301",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654861",
            "telephone_number": "424-266-7516",
            "fax_number": "103-170-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "310-301-5311"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA DEPT OF MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCLA DEPT OF MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Annabel Thomson, PSYD, LMFT, ATR
• Thrive Malibu LLC
• Elizabeth Margretha Topp, PSY 34398
• Michael A Traughber

• Durable Medical Equipment & Medical Supplies in Malibu, CA
• Providers in Malibu, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.