NPIMap

Organization Active NPI

UCLA Family Health Center

  • Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1851661300
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
64122 Issued in CA
Legal business name
UCLA FAMILY HEALTH CENTER
Practice address
1920 Colorado Blvd
Santa Monica, CA 90095
Phone
(310) 206-3340
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Shirley Lieheng Wong, PHARMD
Title
Clinical Pharmacist
Phone
(310) 206-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 64122 CA Primary

Addresses

Primary practice location

1920 Colorado Blvd
Santa Monica, CA 90095

Mailing address

10940 Wilshire Blvd
700
Los Angeles, CA 90024-3915
Phone (310) 206-3340

National Provider Directory

National Provider Directory

Locations

10940 Wilshire Blvd
Ste 700
Los Angeles, CA 90024

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1851661300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 WILSHIRE BLVD",
            "address_2": "700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243915",
            "telephone_number": "310-206-3340",
            "fax_number": "310-794-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COLORADO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-206-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "LIEHENG",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "310-206-3340",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "64122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.