Active NPI
Regents of the University of California
Doing business as UCLA Pharm & Nm Practice Group
- In Vivo & In Vitro Nuclear Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Vivo & In Vitro Nuclear Medicine Physician
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Doing business as
- UCLA Pharm & Nm Practice Group
- Practice address
- 200 Medical PLZ
Suite B114
Los Angeles, CA 90095-8344 - Phone
- (310) 794-9513
- Fax
- (310) 267-2538
- NPI assigned
- Nov 15, 2006
- Last updated
- Jan 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Wang
- Title
- Cao
- Phone
- (310) 267-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | NU | Primary |
Addresses
Primary practice location
200 Medical PLZ
Suite B114
Los Angeles, CA 90095-8344
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0059610 | Medicaid | CA |
Other names 1
- UCLA Pharm & Nm Practice Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
26585 Agoura Rd
Ste 210
Calabasas, CA 91302
Phone (818) 878-0028
10833 Le Conte Ave
Ste AR105
Los Angeles, CA 90095
Phone (310) 794-9513
200 UCLA Medical Plz
Ste B16
Los Angeles, CA 90095
2939 File Box
Los Angeles, CA 90074
757 Westwood Plz
Ste B114
Los Angeles, CA 90095
1187 Coast Village Rd
Ste 10A
Santa Barbara, CA 93108
Phone (805) 565-0020
1245 16th St
Ste 302
Santa Monica, CA 90404
Phone (310) 319-5022
1250 16th St
Ste 1401
Santa Monica, CA 90404
2020 Santa Monica Blvd
Ste 240
Santa Monica, CA 90404
Phone (310) 582-6220
Practitioners & affiliated clinicians
Practitioners 32
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.
-
- Nuclear Medicine Physician
- Los Angeles, CA
- NPI 1750325973
-
- Nuclear Medicine Physician
- Los Angeles, CA
- NPI 1104269729
In Vivo & in Vitro Nuclear Medicine
-
- Nuclear Medicine Physician
- Los Angeles, CA
- NPI 1942245758
-
- Specialist
- Santa Barbara, CA
- NPI 1831245810
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1396917688
-
- Diagnostic Radiology Physician
- Stanford, CA
- NPI 1356404180
-
- Nuclear Medicine Physician
- Santa Monica, CA
- NPI 1669868857
In Vivo & in Vitro Nuclear Medicine
-
- In Vivo & In Vitro Nuclear Medicine Physician
- Los Angeles, CA
- NPI 1215009188
-
- Nuclear Medicine Physician
- Los Angeles, CA
- NPI 1295761880
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1356668701
-
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
- NPI 1043253255
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1487696134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1851463723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PLZ",
"address_2": "SUITE B114",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-794-9513",
"fax_number": "310-267-2538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "310-267-1188"
},
"taxonomies": [
{
"code": "207UN0903X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0059610",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UCLA Pharm & Nm Practice Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Regents of the University of California (UCLA Dept of Anesthesioulogy)
- Regents of the University of California (Bruin Health Pharmacy)
- Regents of the University of California (UCLA Integrated Provider Network)
- Regents of the University of California (UCLA Integrated Provider Network)
- Regents of the University of California (UC Regents, UCLA ORTHOPEDIC ASSOCIATES)
- Regents of the University of California (UCLA Emergency Medical Services)
- Regents of the University of California
- Regents of the University of California Los Angeles (UCLA Orofacial Pain)
- Regents of the University of California Los Angeles
- Regents of the University of California UCLA Ashe Center (Arthur Ashe Student Health and Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.