The Regents of the University of California

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Practice address

200 Medical PLZ
Suite 120
Los Angeles, CA 90095-0001

Phone

(310) 794-1646

Fax

(310) 301-8751

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Katherine Hale

Title

Director of Finance

Phone

(310) 301-5311

Specialties & licenses 1

Addresses

Other names 1

• UCLA Surgical Oncology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 33

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

• Jennifer Lynn Baker, MD

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1447504121

  Surgical Oncology

  Medicare reassignment Care Compare group NPD
• Joseph Garfield Crompton

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1568649549

  Surgical Oncology

  Medicare reassignment Care Compare group NPD
• Timothy Ryan Donahue, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1033361282

  Surgical Oncology

  Medicare reassignment Care Compare group NPD
• Frederick Christian Eilber, MD

  • Surgical Oncology Physician
  • Los Angeles, CA
  • NPI 1073527057
  Medicare reassignment Care Compare group NPD
• Mark Girgis, MD

  • Surgical Oncology Physician
  • Los Angeles, CA
  • NPI 1588826382
  Medicare reassignment Care Compare group NPD
• Danielle Macqueen Graham, M.D.

  • Surgical Oncology Physician
  • Burbank, CA
  • NPI 1831553973
  Medicare reassignment Care Compare group NPD
• Farnaz Haji, M.D, D.O

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1598157588

  Surgical Oncology

  Medicare reassignment Care Compare group NPD
• Brian Eugene Kadera, M.D.

  • Surgical Oncology Physician
  • Santa Monica, CA
  • NPI 1083849327
  Medicare reassignment Care Compare group NPD
• Jonathan C. King, M.D.

  • Surgical Oncology Physician
  • Santa Monica, CA
  • NPI 1497948350
  Medicare reassignment Care Compare group NPD
• Amy M Kusske, MD

  • Surgery Physician
  • Santa Monica, CA
  • NPI 1598743700
  Medicare reassignment Care Compare group NPD
• Gregory Michael Senofsky, MD

  • Surgical Oncology Physician
  • Santa Clarita, CA
  • NPI 1982792891
  Medicare reassignment Care Compare group NPD
• Mediget Teshome, MD

  • Surgical Oncology Physician
  • Los Angeles, CA
  • NPI 1699963678
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1902861297",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "SUITE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-794-1646",
            "fax_number": "310-301-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "310-301-5311"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Surgical Oncology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California
• The Regents of the University of California at Los Angeles

• Surgical Oncology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.