Regents of University of California at Los Angeles

Primary specialty

SpecialistTaxonomy code 174400000X

License

C37937 Issued in CA

Legal business name

REGENTS OF UNIVERSITY OF CALIFORNIA AT LOS ANGELES

Doing business as

Ucla Perinatal Group

Practice address

10833 Le Conte Ave
Los Angeles, CA 90024

Phone

(310) 208-4558

Fax

(310) 267-0265

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Khalil Ma. Tabsh, M.D.

Title

M.D.

Phone

(818) 882-2441

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ucla Perinatal Group Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Jean Johnston Boyer, MD

  • Obstetrics Physician
  • Los Angeles, CA
  • NPI 1265460620
  NPD (past)
• Lamya T Jarjour, M.D.

  • Specialist
  • Northridge, CA
  • NPI 1649316035
  NPD (past)
• Mya Rose Zapata, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1093967507
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942412747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 BAIRD AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244006",
            "telephone_number": "818-882-2441",
            "fax_number": "818-882-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-208-4558",
            "fax_number": "310-267-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF UNIVERSITY OF CALIFORNIA AT LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABSH",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "MA.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-882-2441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C37937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ucla Perinatal Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.