UCLA PEDIATRICS
NPI 1255528055
Allergy & Immunology - Clinical & Laboratory Immunology in Los Angeles, CA

NPI Status: Active since September 26, 2007

Contact Information

200 MED PLZ
STE 140-17
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-3952
Fax: (310) 206-0209

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  • Organization
  • Allergy & Immunology
  • Clinical & Laboratory Immunology

About UCLA PEDIATRICS

This page provides the complete NPI Profile along with additional information for Ucla Pediatrics, a provider established in Los Angeles, California operating as a Allergy & Immunology, focusing in clinical & laboratory immunology . The healthcare provider is registered in the NPI registry with number 1255528055 assigned on September 2007. The practitioner's primary taxonomy code is 207KI0005X with license number G22339 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Ucla Pediatrics-gary Rachelefsky. The authorized official of this NPI record is Dr. Gary Rachelefsky M.d. (Director; Executive For Caard)

NPI
1255528055
Provider Legal Name
UCLA PEDIATRICS
Other Organization Name
UCLA PEDIATRICS-GARY RACHELEFSKY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
200 MED PLZ STE 140-17 LOS ANGELES, CA 90095
Location Phone
(310) 206-3952
Location Fax
(310) 206-0209
Mailing Address
10833 LE CONTE AVE 12-441 MDCC LOS ANGELES, CA 90095
Mailing Phone
(310) 206-3952
Mailing Fax
(310) 206-0209
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-26-2007
Last Update Date
05-27-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology Clinical & Laboratory Immunology

Taxonomy Code
207KI0005X
Type
Allopathic & Osteopathic Physicians
License No.
G22339
License State
CA
Taxonomy Description
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GARY RACHELEFSKY M.D.

Authorized Official Title
DIRECTOR; EXECUTIVE FOR CAARD
Authorized Official Phone
(310) 206-3952

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255528055
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210510216010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1255528055 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

LAWRENCE TAW MD

Internal Medicine

200 MED PLZ
SUITE# 365
LOS ANGELES, CA
ZIP 90095

(310) 794-7171

MICHAEL CHUNCHI LU MD

Obstetrics & Gynecology

200 MED PLZ
SUITE 430
LOS ANGELES, CA
ZIP 90095

(310) 794-8282

HEIDI BUTZ NP

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

200 MED PLZ
SUITE 530
LOS ANGELES, CA
ZIP 90095

(310) 825-7922

ERIN ASHLEY WANN RN

Registered Nurse

200 MED PLZ
SUITE 265
LOS ANGELES, CA
ZIP 90095

(310) 206-3165

MARK OVSIOWITZ MD

Internal Medicine

(Gastroenterology)

200 MED PLZ
SUITE 365
LOS ANGELES, CA
ZIP 90095

(310) 825-9711

STEPHEN SAMUEL WEIGT MD

Internal Medicine

(Pulmonary Disease)

200 MED PLZ
SUITE 365
LOS ANGELES, CA
ZIP 90095

(310) 825-8061

ANDREW BREITHAUPT M.D.

Dermatology

(MOHS-Micrographic Surgery)

200 MED PLZ
SUITE 450
LOS ANGELES, CA
ZIP 90095

(310) 825-6911

CHERI LOWRE MD

Obstetrics & Gynecology

200 MED PLZ
SUITE 430
LOS ANGELES, CA
ZIP 90095

(310) 794-8282

AMY LIN MD

Internal Medicine

200 MED PLZ
SUITE 365
LOS ANGELES, CA
ZIP 90095

(310) 206-7662

JULIA K BAIL RNP

Nurse Practitioner

(Gerontology)

200 MED PLZ
SUITE 420
LOS ANGELES, CA
ZIP 90095

(310) 206-6232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255528055, enumerated as an "organization" on September 26, 2007.

The provider is located at 200 MED PLZ STE 140-17 LOS ANGELES, CA 90095 and the phone number is (310) 206-3952.

Allergy & Immunology with taxonomy code 207KI0005X and a focus in Clinical & Laboratory Immunology.