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UCLA Associated General Surgeons

Organization Active NPI Surgery Physician · Los Angeles, CA

NPI 1730147372 · NPPES record last updated May 13, 2026

Key facts

NPI
1730147372
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
UCLA ASSOCIATED GENERAL SURGEONS
Practice address
100 UCLA Medical PLZ Ste 700
Los Angeles, CA 90024-6997
Phone
(310) 206-0367
NPI assigned
May 3, 2006
Organization subpart
No

Authorized official

Name
Katherine Hale
Title
Director of Finance
Phone
(310) 301-5311

Practitioners 82

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

View all 82

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031105000607 CA Part B Supplier - Clinic/Group Practice 6002728144 Receives reassigned benefits from 79 practitioners
Practice locations: Santa Monica, CA; Valencia, CA; Torrance, CA; West Hills, CA; Northridge, CA; Los Angeles, CA; Encino, CA; Burbank, CA…

National Provider Directory

Locations

200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688

100 Medical Plz
Ste 700
Los Angeles, CA 90095
Phone (310) 206-0367

10833 Le Conte Ave
Rm 72
Los Angeles, CA 90095

757 Westwood Plz
Fl 7
Los Angeles, CA 90095
Phone (310) 825-4381

100 Medical Plza 755
Los Angeles, CA 90095

200 UCLA Medical Plz
#506
Los Angeles, CA 90095

10833 Le Conte Ave
Rm 72266
Los Angeles, CA 90095

2021 Santa Monica Blvd
Ste 625E
Santa Monica, CA 90404
Phone (310) 453-8838

25751 McBean Pkwy
Ste 110
Valencia, CA 91355
Phone (661) 259-2990

7300 Medical Ctr
#A
West Hills, CA 91307
Phone (818) 676-4000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

100 UCLA Medical PLZ Ste 700
Los Angeles, CA 90024-6997

Mailing address

5767 W Century Blvd Ste 200
Los Angeles, CA 90045-5631
Phone (310) 301-8708

Other identifiers

IdentifierTypeStateIssuer
GR0011952MedicaidCA
GR0011951MedicaidCA

Other names

  • Associated General Surgeons Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2026.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1730147372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8708",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ STE 700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246997",
            "telephone_number": "310-206-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA ASSOCIATED GENERAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "310-301-5311"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0011952",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0011951",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated General Surgeons",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Associated General Surgeons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.