Active NPI
UC Regents
Doing business as UCLA Dept of Pediatric Grp Practice
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- UC REGENTS
- Doing business as
- UCLA Dept of Pediatric Grp Practice
- Practice address
- 200 UCLA Medical Plaza
Suite 265
Los Angeles, CA 90095-8344 - Phone
- (310) 825-0867
- Fax
- (310) 206-5146
- NPI assigned
- Apr 11, 2006
- Last updated
- Nov 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherin Devaskar, M.D.
- Title
- Interim Executive Chair
- Phone
- (370) 825-5095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | NU | ||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | NU | ||
| Pediatric Allergy/Immunology Physician | 2080P0201X | NU | ||
| Pediatric Cardiology Physician | 2080P0202X | NU | ||
| Pediatric Critical Care Medicine Physician | 2080P0203X | NU | ||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | NU | ||
| Pediatric Endocrinology Physician | 2080P0205X | NU | ||
| Pediatric Gastroenterology Physician | 2080P0206X | NU | ||
| Pediatric Hematology & Oncology Physician | 2080P0207X | NU | ||
| Pediatric Infectious Diseases Physician | 2080P0208X | NU | ||
| Pediatric Nephrology Physician | 2080P0210X | NU | ||
| Pediatric Pulmonology Physician | 2080P0214X | NU | ||
| Pediatric Rheumatology Physician | 2080P0216X | NU | ||
| Pediatric Sports Medicine Physician | 2080S0010X | NU |
Addresses
Primary practice location
200 UCLA Medical Plaza
Suite 265
Los Angeles, CA 90095-8344
Mailing address
10833 Le Conte Ave
32-263 CHS
Los Angeles, CA 90095-3075
Phone (310) 206-3952
Other names 1
- UCLA Dept of Pediatric Grp Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
26585 Agoura Rd
Ste 360
Calabasas, CA 91302
Phone (310) 825-2631
10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124
10833 Le Conte Ave
#32263
Los Angeles, CA 90095
Phone (310) 206-3952
10833 Le Conte Ave
#A2410
Los Angeles, CA 90095
Phone (310) 206-4616
10833 Le Conte Ave
Ste 12311
Los Angeles, CA 90095
Phone (310) 825-9124
10833 Leconte Ave 12494 Mdcc
Los Angeles, CA 90095
Phone (310) 825-9124
200 Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-6581
200 Medical Plz
Ste 330
Los Angeles, CA 90095
Phone (310) 267-7669
2501 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 546-8702
800 Fairmount Ave
Ste 415
Pasadena, CA 91105
Phone (626) 449-8440
892 Aerovista Pl
Ste 210
San Luis Obispo, CA 93401
Phone (805) 549-8023
1260 15th St
Ste 1002
Santa Monica, CA 90404
Phone (424) 259-8570
1260 15th St
Ste 1024
Santa Monica, CA 90404
Phone (424) 259-8570
Practitioners & affiliated clinicians
Practitioners 381
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.
-
- Pediatric Infectious Diseases Physician
- Los Angeles, CA
- NPI 1366603144
-
- Neurology Physician
- Los Angeles, CA
- NPI 1346699022
-
- Pediatric Infectious Diseases Physician
- Los Angeles, CA
- NPI 1225122906
-
- Pediatrics Physician
- Panorama City, CA
- NPI 1780685479
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1699235093
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1235135740
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1093102279
Pediatric Cardiology
-
- Pediatric Allergy/Immunology Physician
- Los Angeles, CA
- NPI 1801861216
-
- Pediatric Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1790707065
Pediatric Hematology-Oncology
-
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
- NPI 1417214743
-
- Clinical Genetics (M.D.) Physician
- Santa Monica, CA
- NPI 1417965831
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1982667663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"address_2": "32-263 CHS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-206-3952",
"fax_number": "310-206-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLAZA",
"address_2": "SUITE 265",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-825-0867",
"fax_number": "310-206-5146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UC REGENTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "DEVASKAR",
"authorized_official_first_name": "SHERIN",
"authorized_official_title_or_position": "INTERIM EXECUTIVE CHAIR",
"authorized_official_telephone_number": "370-825-5095",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UCLA Dept of Pediatric Grp Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Jon Ubick, PSY.D.
- Ubuntu Clinic PMC
- UC Medical Supply
- UC Regents (UCLA Dept. of Pediatric grp practice)
- UC Regents (UCLA Neuropsychiatric Behavioral Health)
- UC Regents of the University of Maxillofacial
- UC Regents Pharmacology and Nuclear Medicine Practice Group
- UC Regents UCLA Department of Medicine Prof Group
- UC Regents UCLA Department of Medicine Professional Group
- UC Regents UCLA DMPG Brentwood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.