Regents Univ of Calif Los Angeles

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

40977 Issued in CA

Legal business name

REGENTS UNIV OF CALIF LOS ANGELES

Doing business as

Ronald Reagan UCLAMC

Practice address

200 UCLA Medical PLZ
Suite135
Los Angeles, CA 90095-8344

Phone

(310) 267-9308

Fax

(310) 267-3516

NPI assigned

May 6, 2009

Organization subpart

Yes

Parent organization

REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

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

Authorized official

Name

Mr. Paul Alvin Staton

Title

Cfo

Phone

(310) 267-9308

Specialties & licenses 1

Addresses

Other names 1

• Ronald Reagan UCLAMC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Regents Univ of Calif Los Angeles

  dba Ronald Reagan UCLA - Medical Plaza Level I Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1275633224

  O20100930016817

  Same enrollment

Locations

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1780818765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 WILSHIRE BLVD STE 1700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246542",
            "telephone_number": "310-794-6129",
            "fax_number": "310-794-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE135",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958344",
            "telephone_number": "310-267-9308",
            "fax_number": "310-267-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS UNIV OF CALIF LOS ANGELES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-267-9308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "40977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald Reagan UCLAMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regents Univ of Calif Los Angeles
• Regents Univ of Calif Los Angeles
• Regents Univ of Calif Los Angeles
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLA - Medical Plaza Level I Pharmacy)
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLA - Medical Plaza Level I Pharmacy)
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLA - Medical Plaza Level I Pharmacy)
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLAMC)
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLA - Medical Plaza Level IV Pharmacy)
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLA Medical Center)
• Regents Univ of Calif Los Angeles (Resnick Neuropsychiatric Hospital at UCLA)

• Parenteral & Enteral Nutrition Supplies (DME) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.