REGENTS OF THE UNIVERSITY OF CALIFORNIA
NPI 1104644988
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since September 30, 2024
10833 LE CONTE AVE, # A0-156 CHS, LOS ANGELES, CA 90095(310) 825-0834 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Regents Of The University Of California NPPES

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

REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI 1104644988), doing business as Ucla Integrated Provider Network, is a healthcare organization registered as an oral and maxillofacial surgery in Los Angeles, California and active in the NPI registry since September 2024. The organization lists Katherine Hale, Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1104644988
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameREGENTS OF THE UNIVERSITY OF CALIFORNIA
Location Address10833 LE CONTE AVE, # A0-156 CHSLos Angeles, CA 90095-1668
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Organization SubpartNo
Authorized OfficialKatherine HaleFinancial Officer · (310) 301-5311
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1104644988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10833 LE CONTE AVE, Los Angeles, CA 90095

Other Names 1

Doing Business AsUcla Integrated Provider Network

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regents Of The University Of California is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

128

Medicare enrollment records show 128 clinicians reassign Medicare billing to Regents Of The University Of California, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 83 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Orthopedic Surgery38
Physical Therapist in Private Practice19
Podiatry12
Dentist11
Oral Surgery9
Diagnostic Radiology6
Nurse Practitioner6
Occupational Therapist in Private Practice6
7 other specialties21

Nearest to this location (20)

See all 128
Oral Surgery
NPI 1821135138
10833 LE CONTE AVE # CHS10157
Los Angeles, CA 90095
(310) 794-1929
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1407931694
10833 LE CONTE AVE #A0-156
Los Angeles, CA 90095
(310) 825-0834
✔ PECOSSame address
Dentist
NPI 1164528113
10833 LE CONTE AVE CHS 53-058
Los Angeles, CA 90095
(310) 206-4731
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1538346127
10833 LE CONTE AVE
Los Angeles, CA 90095
(310) 825-0834
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1710019781
10833 LE CONTE AVE. RM A0-156C CHS
Los Angeles, CA 90095
(310) 825-0834
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1801155445
10833 LE CONTE AVE A0-156 CHS
Los Angeles, CA 90095
(310) 825-0834
✔ PECOSSame address
Maxillofacial Surgery
NPI 1558537498
10833 LE CONTE AVE # A0-156
Los Angeles, CA 90095
(310) 825-0834
✔ PECOSSame address
Dentist
NPI 1033790399
10833 LE CONTE AVE RM B3-077
Los Angeles, CA 90095
(510) 552-8480
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1437779220
10833 LE CONTE AVE
Los Angeles, CA 90095
(310) 825-6510
✔ PECOSSame address
Maxillofacial Surgery
NPI 1740464692
10833 LE CONTE AVE ROOM A0-156
Los Angeles, CA 90095
(310) 794-7070
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1508075730
10833 LE CONTE AVENUE B3-069 CHS
Los Angeles, CA 90095
(310) 825-6510
✔ PECOSSame address
Dentist
NPI 1457643389
10833 LE CONTE AVE A0-156B CHS
Los Angeles, CA 90095
(310) 825-6510
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1538158043
10833 LE CONTE AVE CHS 10-165
Los Angeles, CA 90095
(310) 825-5634
✔ PECOSSame address
Dentist
NPI 1962997882
10833 LE CONTE AVE
Los Angeles, CA 90095
(226) 448-8058
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1851417737
10833 LE CONTE AVE SUITE AO-156
Los Angeles, CA 90095
(310) 825-0834
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1417060385
10833 LE CONTE AVE # AO125CHS
Los Angeles, CA 90095
(310) 825-8879
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1255543948
AO-156 CHS, MAXILLOFACIAL PROSTHODONTIC CLINIC
Los Angeles, CA 90095
(310) 825-6510
✔ PECOS0.2 mi
Oral Surgery
NPI 1629161351
UCLA SCHOOL OF DENTISTRY. CHS A0-156 10833 LE CONTE AVE.
Los Angeles, CA 90095
(310) 825-5889
✔ PECOS✔ Accepts Medicare0.2 mi
Dentist
NPI 1649879883
714 TIVERTON AVE
Los Angeles, CA 90095
(310) 409-8121
✔ PECOS0.2 mi
Podiatry
NPI 1467147132
100 UCLA MEDICAL PLZ STE 460
Los Angeles, CA 90024
(310) 443-8999
✔ PECOS✔ Accepts Medicare0.2 mi
See all 128 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Regents Of The University Of California's NPI number?

The NPI number for Regents Of The University Of California is 1104644988. It was assigned to this organization in the NPPES registry on September 30, 2024. The provider is doing business as UCLA Integrated Provider Network.

Where is Regents Of The University Of California located?

Regents Of The University Of California is located at 10833 Le Conte Ave # A0-156 Chs, Los Angeles, CA 90095. The listed phone number is (310) 825-0834.

What is Regents Of The University Of California's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Regents Of The University Of California enrolled in Medicare?

Yes. Regents Of The University Of California is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regents Of The University Of California?

According to the CMS Revalidation Reassignment List (October 2026 release), 128 clinicians in 15 Medicare specialties reassign their Medicare billing to Regents Of The University Of California. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (38), Physical Therapist in Private Practice (19) and Podiatry (12). Of these, 16 practice at this address and 83 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regents Of The University Of California was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.