Organization Active NPI

Universal City Medical Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1922299346
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G50815 Issued in CA
Legal business name
UNIVERSAL CITY MEDICAL GROUP INC
Practice address
3535 Cahuenga Blvd W Ste 208
Los Angeles, CA 90068-1359
Phone
(323) 436-0303
Fax
(323) 436-0306
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Dr. David Mark Rekar, M.D.
Title
Owner
Phone
(323) 436-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X G50815 CA Primary

Addresses

Primary practice location

3535 Cahuenga Blvd W Ste 208
Los Angeles, CA 90068-1359

Mailing address

3535 Cahuenga Blvd W Ste 208
Los Angeles, CA 90068-1359
Phone (323) 436-0303

National Provider Directory

National Provider Directory

Locations

3535 Cahuenga Blvd W
Ste 208
Los Angeles, CA 90068
Phone (213) 436-0303

4789 Vineland Ave
Ste 101
North Hollywood, CA 91602
Phone (323) 436-0303

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1922299346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CAHUENGA BLVD W STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681359",
            "telephone_number": "323-436-0303",
            "fax_number": "323-436-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CAHUENGA BLVD W STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681359",
            "telephone_number": "323-436-0303",
            "fax_number": "323-436-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL CITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "REKAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-436-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G50815",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2014; 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.