University Pathology Associates, Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

05D0928654 Issued in CA

Legal business name

UNIVERSITY PATHOLOGY ASSOCIATES, INC.

Practice address

2011 Zonal Ave,
Suite 209
Los Angeles, CA 90089-0181

Phone

(323) 442-2582

Fax

(323) 442-2588

NPI assigned

Jul 27, 2006

Last updated

Jul 24, 2008By 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

Dr. Clive R. Taylor, M.D., PH.D.NPI 1417057118

Title

President

Phone

(323) 442-1180

Specialties & licenses 14

Addresses

Other identifiers 13

Locations

Practitioners 36

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.

• Clive R Taylor, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1417057118
  NPD (past) Authorized official
• Brad S Adler, M.D.

  • Anatomic Pathology Physician
  • Ventura, CA
  • NPI 1003979618
  NPD (past)
• Nancy J Barr, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1902812878
  NPD (past)
• Russell K Brynes, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1518972223
  NPD (past)
• Parakrama T Chandrasoma, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, CA
  • NPI 1467446013
  NPD (past)
• Liansong Chen, M.D.

  • Specialist
  • Modesto, CA
  • NPI 1265492292
  NPD (past)
• Camilla J Cobb, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Loma Linda, CA
  • NPI 1487753984

  Cytopathology

  NPD (past)
• Deborah L Commins, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1801802772
  NPD (past)
• Adrian Jose-Luis Correa, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1245245950
  NPD (past)
• Louis Dubeau, M.D.

  • Anatomic Pathology Physician
  • Los Angeles, CA
  • NPI 1316095656
  NPD (past)
• Alexander N Fedenko, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1558377424
  NPD (past)
• Alan L Hiti, MD, PHD

  • Clinical Pathology/Laboratory Medicine Physician
  • Los Angeles, CA
  • NPI 1053456285
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1952325565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ZONAL AVE",
            "address_2": "SUITE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900895364",
            "telephone_number": "323-442-2582",
            "fax_number": "323-442-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ZONAL AVE,",
            "address_2": "SUITE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890181",
            "telephone_number": "323-442-2582",
            "fax_number": "323-442-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PATHOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-442-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZM0300X",
            "taxonomy_group": "",
            "desc": "Pathology, Medical Microbiology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": true
        },
        {
            "code": "207ZP0104X",
            "taxonomy_group": "",
            "desc": "Pathology, Chemical Pathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "CA",
            "license": "05D0928654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB39440F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D0939440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D1065390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH7107",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ2142",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0058906",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807975000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG4848",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D0928654",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB28654F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0670053",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101420",
            "state": "CA"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "GR0101421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.