NPIMap

Organization Active NPI

Regents Univ of Calif Los Angeles

Doing business as Ronald Reagan UCLAMC

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1861790990
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
930000165 Issued in CA
Legal business name
REGENTS UNIV OF CALIF LOS ANGELES
Doing business as
Ronald Reagan UCLAMC
Practice address
757 Westwood PLZ
Suite # 1320
Los Angeles, CA 90095-1730
Phone
(310) 267-9308
Fax
(310) 267-3516
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Mr. Paul Alvin Staton
Title
Chief Financial Officer
Phone
(310) 267-9308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 930000165 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Suite # 1320
Los Angeles, CA 90095-1730

Mailing address

757 Westwood PLZ
Suite # 1320
Los Angeles, CA 90095-1730
Phone (310) 267-9308

Other names 1

  • Ronald Reagan UCLAMC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1861790990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "SUITE # 1320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951730",
            "telephone_number": "310-267-9308",
            "fax_number": "310-267-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "SUITE # 1320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951730",
            "telephone_number": "310-267-9308",
            "fax_number": "310-267-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS UNIV OF CALIF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "310-267-9308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "930000165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald Reagan UCLAMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 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.