NPIMap

Organization Active NPI

The Regents of the University of California

Doing business as UCLA Cardiothoracic Surgery Associates

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1912963232
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UCLA Cardiothoracic Surgery Associates
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-3075
Phone
(310) 825-9111
Fax
(310) 301-8751
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045-5631
Phone (310) 825-9820

Other identifiers 1

IdentifierTypeStateIssuer
GR0067820MedicaidCA

Other names 1

  • UCLA Cardiothoracic Surgery Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722001316 CA Part B Supplier - Clinic/Group Practice 3870573579 Receives reassigned benefits from 52 practitioners
Practice locations: West Hills, CA; Santa Monica, CA; Los Angeles, CA; Encino, CA

National Provider Directory

National Provider Directory

Locations

10833 Le Conte Ave
Rm 62182A
Los Angeles, CA 90095

File 54206
Los Angeles, CA 90074

757 Westwood Plz
Ste 8051E
Los Angeles, CA 90095

10833 Le Conte Ave
#62182
Los Angeles, CA 90095
Phone (310) 825-9820

10833 Le Conte Ave
Ste 182A
Los Angeles, CA 90095

10833 Le Conte Ave
#62182A
Los Angeles, CA 90095

100 UCLA Medical Plz
Ste 730
Los Angeles, CA 90024
Phone (310) 206-8232

1250 16th St
Ste 244
Santa Monica, CA 90404

Practitioners & affiliated clinicians

Practitioners 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1912963232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-9111",
            "fax_number": "310-301-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "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": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0067820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Cardiothoracic Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCLA Cardiothoracic Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2022; 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.