Active NPI
Lora Uglesic, MA
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1871755215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48954
- Practice address
- 2121 W Temple St
Los Angeles, CA 90026-4915 - Phone
- (213) 385-5100
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51979 | CA | |
| Marriage & Family Therapist | 106H00000X | 48954 | CA | Primary |
Addresses
Primary practice location
2121 W Temple St
Los Angeles, CA 90026-4915
Mailing address
2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 385-5100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48954 | Other | CA | BBS |
| 51979 | Other | CA | BBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 7, 2025 through Jan 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48954 | CA | MD | Marriage & Family Therapist |
| 51979 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1871755215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264915",
"telephone_number": "213-385-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264915",
"telephone_number": "213-385-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGLESIC",
"first_name": "LORA",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51979",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "48954",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "51979",
"state": "CA"
}
],
"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 Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.