Udps

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

A73000 Issued in CA

Legal business name

UDPS

Doing business as

University DermatoPathology Services

Practice address

2740 W Magnolia Blvd Unit 201
Burbank, CA 91505-3051

Phone

(323) 935-8800

Fax

(323) 935-8804

NPI assigned

May 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Manjunath S Vadmal, MD

Title

President

Phone

(323) 935-8800

Specialties & licenses 1

Addresses

Other names 1

• University DermatoPathology Services Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Payam Saadat, MD

  • Dermatology Physician
  • Burbank, CA
  • NPI 1740487925
  NPD
• Justin Christopher Kerstetter, M.D.

  • Dermatopathology (Pathology) Physician
  • Loma Linda, CA
  • NPI 1629241054
  NPD (past)

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1881641314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD",
            "address_2": "SUITE 171",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113561",
            "telephone_number": "323-935-8800",
            "fax_number": "323-935-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W MAGNOLIA BLVD UNIT 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053051",
            "telephone_number": "323-935-8800",
            "fax_number": "323-935-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6221 Wilshire Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485201",
            "country_code": "US",
            "telephone_number": "323-935-8800",
            "fax_number": "323-935-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UDPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "VADMAL",
        "authorized_official_first_name": "MANJUNATH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-935-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A73000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University DermatoPathology Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University DermatoPathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatopathology (Pathology) Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Dermatopathology (Pathology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.