Organization Active NPI

UC Regents Pharmacology and Nuclear Medicine Practice Group

  • Nuclear Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1861869042
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
Legal business name
UC REGENTS PHARMACOLOGY AND NUCLEAR MEDICINE PRACTICE GROUP
Practice address
10833 Le Conte Ave
Ar105 CHS
Los Angeles, CA 90095-3075
Phone
(310) 794-9513
Fax
(310) 267-2538
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Sherly Mosessian, PH.D.
Title
Chief Adminitrative Officer
Phone
(310) 267-1188

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X NU Primary
Nuclear Radiology Physician 2085N0904X NU
Radiation Oncology Physician 2085R0001X NU

Addresses

Primary practice location

10833 Le Conte Ave
Ar105 CHS
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 794-9513

National Provider Directory

National Provider Directory

Locations

10833 Le Conte Ave
#105
Los Angeles, CA 90095
Phone (310) 794-9513

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1861869042",
    "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",
            "telephone_number": "310-794-9513",
            "fax_number": "310-267-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "AR105 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-794-9513",
            "fax_number": "310-267-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS PHARMACOLOGY AND NUCLEAR MEDICINE PRACTICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "MOSESSIAN",
        "authorized_official_first_name": "SHERLY",
        "authorized_official_title_or_position": "CHIEF ADMINITRATIVE OFFICER",
        "authorized_official_telephone_number": "310-267-1188",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 24, 2015; 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.