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UCLA DEPARTMENT OF PEDIATRIC GROUP PRACTICE
NPI 1093025355
Nurse Practitioner - Family in Los Angeles, CA

Active since October 20, 2010
200 MEDICAL PLZ, SUITE 265, LOS ANGELES, CA 90095(310) 825-0867(310) 206-5146 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ucla Department Of Pediatric Group Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UCLA DEPARTMENT OF PEDIATRIC GROUP PRACTICE (NPI 1093025355) is a healthcare organization registered as a family in Los Angeles, California and active in the NPI registry since October 2010. The organization lists Sherin Devaskar, Interim Executive Chair, as its authorized official.

NPPES Registry Identity

NPI1093025355
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUCLA DEPARTMENT OF PEDIATRIC GROUP PRACTICE
Location Address200 MEDICAL PLZ, SUITE 265Los Angeles, CA 90095-0001
Mailing Address10833 Le Conte Ave, 22-474 MdccLos Angeles, CA 90095-1752 · (310) 825-6196 · Fax (310) 825-5834
Phone(310) 825-0867
Fax(310) 206-5146
Organization SubpartNo
Authorized OfficialSherin DevaskarInterim Executive Chair · (310) 825-5095
Enumeration DateOctober 20, 2010
✔ NPI 1093025355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 19341
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 677319 (CA)
200 MEDICAL PLZ, Los Angeles, CA 90095
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INGRID RODI M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
200 MEDICAL PLZ, 202
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7274
ARIE BELLDEGRUN MD
Urology
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JOEL AVRAM SERCARZ MD
Otolaryngology
200 MEDICAL PLZ, #550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
ROBERT KAIDA CHIN MD, PHD
Radiology (Radiation Oncology)
200 MEDICAL PLZ, SUITE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 301-9775
LAWRENCE ANDREW YEATMAN MD
Internal Medicine (Cardiovascular Disease)
200 MEDICAL PLZ, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 582-6220
HENRY K KAWAMOTO MD
Surgery
200 MEDICAL PLZ, STE 465
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5510
SHARON L HAME MD
Orthopaedic Surgery (Sports Medicine)
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 319-1234
DR. JOHN N. MAFI M.D.
Internal Medicine
200 MEDICAL PLZ, SUITE 365
LOS ANGELES, CA 90095
Los Angeles County (310) 794-2280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ucla Department Of Pediatric Group Practice's NPI number?

The NPI number for Ucla Department Of Pediatric Group Practice is 1093025355. It was assigned to this organization in the NPPES registry on October 20, 2010.

Where is Ucla Department Of Pediatric Group Practice located?

Ucla Department Of Pediatric Group Practice is located at 200 Medical Plz Suite 265, Los Angeles, CA 90095. The listed phone number is (310) 825-0867.

What is Ucla Department Of Pediatric Group Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ucla Department Of Pediatric Group Practice was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.