University Head and Neck Associates

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

Legal business name

UNIVERSITY HEAD AND NECK ASSOCIATES

Practice address

200 Medical Plaza
550
Los Angeles, CA 90095

Phone

(310) 206-6688

Fax

(310) 206-1393

NPI assigned

Sep 2, 2006

Last updated

Jun 7, 2011By 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

Dr. Gerald S BerkeNPI 1174537575

Title

Prof Chief Head and Neck UCLA

Phone

(310) 825-5179

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Gerald Spencer Berke

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1174537575
  Authorized official Same address or phone

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1750483616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512025",
            "address_2": "DEPT A20",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90051",
            "telephone_number": "310-206-6688",
            "fax_number": "310-206-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA",
            "address_2": "550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-206-6688",
            "fax_number": "310-206-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEAD AND NECK ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "BERKE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROF CHIEF HEAD AND NECK UCLA",
        "authorized_official_telephone_number": "310-825-5179",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY49086Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otology & Neurotology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Otology & Neurotology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.