Active NPI
UC Regents Pharmacology and Nuclear Medicine Practice Group
- Nuclear Medicine Physician
- Los Angeles, CA
National Provider Identifier
1861869042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- 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, 2015
- 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
- Sherly Mosessian, PH.D.
- Title
- Chief Adminitrative Officer
- Phone
- (310) 267-1188
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- In Vivo & In Vitro Nuclear Medicine Physician
- Los Angeles, CA
- NPI 1215009188
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
- UC Medical Supply
- UC Regents (UCLA Dept. of Pediatric grp practice)
- UC Regents (UCLA Neuropsychiatric Behavioral Health)
- UC Regents (UCLA Dept of Pediatric Grp Practice)
- UC Regents of the University of Maxillofacial
- UC Regents UCLA Department of Medicine Prof Group
- UC Regents UCLA Department of Medicine Professional Group
- UC Regents UCLA DMPG Brentwood
- UC Regents UCLA DMPG Century City
- UC Regents UCLA DMPG Manhattan Beach
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.