Organization Active NPI

Ronald Regan UCLA Medical Center

  • General Acute Care Hospital
  • Northridge, CA
National Provider Identifier
1780926634
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
21427 Issued in CA
Legal business name
RONALD REGAN UCLA MEDICAL CENTER
Practice address
8603 Jellico Ave
Northridge, CA 91325-3103
Phone
(818) 445-4401
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Susana Isabel Preza-Scavo, NURSE PRACTITIONER
Title
Nurse Practitioner II
Phone
(310) 267-9812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 21427 CA Primary

Addresses

Primary practice location

8603 Jellico Ave
Northridge, CA 91325-3103

Mailing address

8603 Jellico Ave
Northridge, CA 91325-3103
Phone (818) 445-4401

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1780926634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 JELLICO AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253103",
            "telephone_number": "818-445-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 JELLICO AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253103",
            "telephone_number": "818-445-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD REGAN UCLA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "PREZA-SCAVO",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER II",
        "authorized_official_telephone_number": "310-267-9812",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "21427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.