NPIMap

Organization Active NPI

Regents of the Univ of California

Doing business as Santa Monica UCLA - Audiology, OT & Speech

  • Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1992475032
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REGENTS OF THE UNIV OF CALIFORNIA
Doing business as
Santa Monica UCLA - Audiology, OT & Speech
Santa Monica UCLA Medical Center & Orthopaedic Hospital
Practice address
1131 Wilshire Blvd.
Suite 202
Los Angeles, CA 90404
Phone
(424) 259-7705
Fax
(310) 260-0105
NPI assigned
Sep 20, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Tammy Lehr Wallace
Title
Cfo
Phone
(310) 794-8627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1131 Wilshire Blvd.
Suite 202
Los Angeles, CA 90404

Mailing address

1131 Wilshire Blvd Ste 202
Santa Monica, CA 90401-2065

Other identifiers 1

IdentifierTypeStateIssuer
1427055839MedicaidCA

Other names 2

  • Santa Monica UCLA - Audiology, OT & Speech Doing business as
  • Santa Monica UCLA Medical Center & Orthopaedic Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.uclahealth.org
CONNECT URL www.uclahealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215000432 CA DME Supplier - Rehabilitation Agency 6305880592 Practice locations: Santa Monica, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Regents of the Univ of California10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Santa Monica Uclamc & OrthopaedicSanta Monica, CA, CCN 050112 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 21, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1992475032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD.",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "424-259-7705",
            "fax_number": "310-260-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIV OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LEHR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-794-8627"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427055839",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.uclahealth.org",
            "affiliation": "N",
            "address_1": "1131 Wilshire Blvd.",
            "address_2": "Suite 202",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.uclahealth.org",
            "affiliation": "N",
            "address_1": "1131 Wilshire Blvd.",
            "address_2": "Suite 202",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Santa Monica UCLA - Audiology, OT & Speech",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Monica UCLA Medical Center & Orthopaedic Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.