NPIMap

Individual provider Active NPI

Rebecca Ann Bavolek, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1942407556
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C145441 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-1014
Phone
(310) 825-9111
Fax
(310) 267-3710
NPI assigned
Jun 27, 2007
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C145441 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-1014

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104000975 CA Practitioner - Emergency Medicine 0345365821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of Ca Emer MedGroup PAC ID 4284538521, 13 clinicians

Practice addresses (Care Compare)

757 Westwood PLZ
Suite 1517
Los Angeles, CA 90095-0001
Phone (310) 825-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.25
Promoting interoperability
100
Improvement activities
40
Cost
79.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C145441CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Emer Med Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jan 15, 2017 Accepting new patients
County of Los Angeles CurrentSince Jan 15, 2017 Accepting new patients
Regents University of California CurrentSince Dec 17, 2023 Accepting new patients
Regents University of California CurrentSince Dec 17, 2023 Accepting new patients
County of Los Angeles Current Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients
Regents of the University of California PastSince Oct 1, 2016 Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Barnes Jewish West County Hospital Past Accepting new patients
St Louis Childrens Hospital Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

757 Westwood Plz
Ste 1517
Los Angeles, CA 90095
Phone (310) 794-0599

File 55675
Los Angeles, CA 90074

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: rbavolek500253@direct.uclahealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1942407556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "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": "900951014",
            "telephone_number": "310-825-9111",
            "fax_number": "310-267-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVOLEK",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C145441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.