Organization Active NPI

Regents of the University of California

  • Public Health Dentistry
  • Los Angeles, CA
National Provider Identifier
1992831655
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
2075 Issued in CA
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice address
10833 Le Conte Ave Box 951668
RM A0-125CHS
Los Angeles, CA 90095-0001
Phone
(310) 825-8879
Fax
(310) 794-9723
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Authorized official

Name
Dr. Fariba Simhai YounaiNPI 1417060385
Title
Director
Phone
(310) 825-8879

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X 2075 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave Box 951668
RM A0-125CHS
Los Angeles, CA 90095-0001

Mailing address

10833 Le Conte Ave Box 951668
RM A0-125CHS
Los Angeles, CA 90095-1668
Phone (310) 825-8879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923001287 CA Part B Supplier - Clinic/Group Practice 7911975131 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

10833 Le Conte Ave
Ste AO125
Los Angeles, CA 90095

10833 Le Conte Ave
#A125
Los Angeles, CA 90095
Phone (310) 825-8879

10833 Le Conte Ave
Ste A125CHS
Los Angeles, CA 90095

10833 Le Conte Ave
Rm A125CHS
Los Angeles, CA 90095
Phone (310) 825-8879

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1992831655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE BOX 951668",
            "address_2": "RM A0-125CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-8879",
            "fax_number": "310-825-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE BOX 951668",
            "address_2": "RM A0-125CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-8879",
            "fax_number": "310-794-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "YOUNAI",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_middle_name": "SIMHAI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-825-8879",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.

Verify at the official NPI Registry.