Organization Active NPI

Los Angeles Usd CHDP

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1811307622
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LOS ANGELES USD CHDP
Practice address
333 S Beaudry Ave
Floor 29
Los Angeles, CA 90017-1466
Phone
(213) 241-0558
Fax
(213) 241-8458
NPI assigned
May 1, 2014
Last updated
May 1, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
LOS ANGELES UNIFIED SCHOOL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Dr. Kimberly Uyeda, M.D.
Title
Medical Director
Phone
(213) 241-0558

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Optometrist 152W00000X NU
Family Medicine Physician 207Q00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

333 S Beaudry Ave
Floor 29
Los Angeles, CA 90017-1466

Mailing address

333 S Beaudry Ave
Floor 29
Los Angeles, CA 90017-1466
Phone (213) 241-0558

National Provider Directory

National Provider Directory
Tax ID family
Los Angeles Unified School District7 organizations share this tax ID, including this one
Part of
Los Angeles Unified School District

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

333 S Beaudry Ave
Fl 29
Los Angeles, CA 90017
Phone (213) 241-3840

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1811307622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S BEAUDRY AVE",
            "address_2": "FLOOR 29",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171466",
            "telephone_number": "213-241-0558",
            "fax_number": "213-241-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BEAUDRY AVE",
            "address_2": "FLOOR 29",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171466",
            "telephone_number": "213-241-0558",
            "fax_number": "213-241-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES USD CHDP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ANGELES UNIFIED SCHOOL DISTRICT",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "UYEDA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-241-0558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.