Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
REGENTS UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA CPN Santa Monica Bay Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (DIRECTOR OF ACCOUNTING)
(310) 301-5311
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD STE 860W, SANTA MONICA, CA 90404-2189
(310) 828-3209
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 459-2363
(310) 459-1517
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
CA
207Q00000X
Family Medicine Physician
Primary
—
CA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
—
CA
207R00000X
Internal Medicine Physician
—
CA
207RC0000X
Cardiovascular Disease Physician
—
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
CA
207RI0200X
Infectious Disease Physician
—
CA
207RP1001X
Pulmonary Disease Physician
—
CA
2084N0400X
Neurology Physician
—
CA
208600000X
Surgery Physician
—
CA
261QM1300X
Multi-Specialty Clinic/Center
—
CA
Other
Enumeration date
10/29/2010
Last updated
04/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers