Ucla Integrated Provider Network | |
100 Ucla Medical Plaza Ste 460, Los Angeles, CA 90095-6970 | |
(310) 433-8998 | |
Not Available |
Full Name | Ucla Integrated Provider Network |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 100 Ucla Medical Plaza Ste 460, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750723540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Robert K Lee |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720195035 PECOS PAC ID: 4688567191 Enrollment ID: I20040206000454 |
Provider Name | Steven A Schopler |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1417988791 PECOS PAC ID: 4486553591 Enrollment ID: I20040219001021 |
Provider Name | Gregory J Hanker |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1811926975 PECOS PAC ID: 5597664607 Enrollment ID: I20040225001156 |
Provider Name | Gregory Vassilev |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1073539748 PECOS PAC ID: 3577452127 Enrollment ID: I20040312000343 |
Provider Name | Robert Gazmarian |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1588691174 PECOS PAC ID: 7810984952 Enrollment ID: I20040429000532 |
Provider Name | Steven H Silvers |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154324580 PECOS PAC ID: 3476539842 Enrollment ID: I20040625001152 |
Provider Name | Paul M Simic |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1205867488 PECOS PAC ID: 3476525908 Enrollment ID: I20040806000279 |
Provider Name | Brian S Grossman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1518996859 PECOS PAC ID: 5496654501 Enrollment ID: I20041014000943 |
Provider Name | Robert K Lee |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1881757078 PECOS PAC ID: 5395790596 Enrollment ID: I20050321000996 |
Provider Name | Nathanael Manuel Trono |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851446975 PECOS PAC ID: 6204883010 Enrollment ID: I20050404001127 |
Provider Name | Gregory R Applegate |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386751741 PECOS PAC ID: 1759328719 Enrollment ID: I20050411001323 |
Provider Name | Laura J Applegate |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013024488 PECOS PAC ID: 7012954043 Enrollment ID: I20050412000530 |
Provider Name | Mark Schamblin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1083645360 PECOS PAC ID: 2860432648 Enrollment ID: I20050511000449 |
Provider Name | Alan M Singer |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1538221395 PECOS PAC ID: 0547154213 Enrollment ID: I20050512000239 |
Provider Name | Judy M Ryan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588710685 PECOS PAC ID: 4587600176 Enrollment ID: I20050705001014 |
Provider Name | Deepen Mukesh Bhatt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285765685 PECOS PAC ID: 6204872898 Enrollment ID: I20050705001025 |
Provider Name | Brendan Riley |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1770591372 PECOS PAC ID: 3375589757 Enrollment ID: I20050707000603 |
Provider Name | Todd A Shapiro |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1528007796 PECOS PAC ID: 2567490055 Enrollment ID: I20050726001258 |
Provider Name | Marlene J Vargas |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184755456 PECOS PAC ID: 9931134459 Enrollment ID: I20051003000791 |
Provider Name | Andrea D Roberts |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538290895 PECOS PAC ID: 4284669722 Enrollment ID: I20051003000904 |
Provider Name | Babak Barcohana |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1659454841 PECOS PAC ID: 6800815887 Enrollment ID: I20051118000501 |
Provider Name | Scott M Laurente |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790870764 PECOS PAC ID: 0840207197 Enrollment ID: I20060313000267 |
Provider Name | Richard J Spelts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437240355 PECOS PAC ID: 6002813169 Enrollment ID: I20061102000183 |
Provider Name | Patricia C Mckeever |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689601304 PECOS PAC ID: 3375442486 Enrollment ID: I20070309000369 |
Provider Name | Andrew O Schreiber |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1679662852 PECOS PAC ID: 3476645136 Enrollment ID: I20070825000099 |
Provider Name | Michael S Bahk |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1518012335 PECOS PAC ID: 5496849614 Enrollment ID: I20070919000503 |
Provider Name | Jessica Rae Toran |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255517603 PECOS PAC ID: 1951486471 Enrollment ID: I20080307000548 |
Provider Name | Jason John Baran |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578657169 PECOS PAC ID: 6305915562 Enrollment ID: I20080514000713 |
Provider Name | Christopher D. Hamilton |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598795130 PECOS PAC ID: 7113826223 Enrollment ID: I20080919000386 |
Provider Name | Ottoniel Mejia |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992972848 PECOS PAC ID: 2163582214 Enrollment ID: I20081119000062 |
Provider Name | James Braxton Little |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992866412 PECOS PAC ID: 5991865016 Enrollment ID: I20081119000710 |
Provider Name | Richard Ferkel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831128230 PECOS PAC ID: 8123913837 Enrollment ID: I20081219000434 |
Provider Name | Dominic Rogelio Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174787683 PECOS PAC ID: 8628130648 Enrollment ID: I20081229000137 |
Provider Name | David Michael Auerbach |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1851320352 PECOS PAC ID: 8224937339 Enrollment ID: I20090216000272 |
Provider Name | Steve K Kwak |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1013131705 PECOS PAC ID: 8224180435 Enrollment ID: I20090720000312 |
Provider Name | Christine Hannemann |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568699742 PECOS PAC ID: 7810035193 Enrollment ID: I20091105000607 |
Provider Name | Lucila Leal-pereida |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568665586 PECOS PAC ID: 5395884308 Enrollment ID: I20091204000368 |
Provider Name | John L Etcheverry |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760573745 PECOS PAC ID: 3577519727 Enrollment ID: I20100506000443 |
Provider Name | Todd J Molnar |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1407884109 PECOS PAC ID: 5294634309 Enrollment ID: I20100630000582 |
Provider Name | Mark H Getelman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1275569832 PECOS PAC ID: 0941109052 Enrollment ID: I20100720001032 |
Provider Name | Jaime D Hernandez |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699909101 PECOS PAC ID: 9638223050 Enrollment ID: I20100802001044 |
Provider Name | Todd Moldawer |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1841226370 PECOS PAC ID: 2860391976 Enrollment ID: I20100823000637 |
Provider Name | Jonathan Jaivin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376561563 PECOS PAC ID: 5698674703 Enrollment ID: I20100901000411 |
Provider Name | Andrew M. Blecher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013953520 PECOS PAC ID: 1153446810 Enrollment ID: I20100917000732 |
Provider Name | George Mekhail Wahba |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982893772 PECOS PAC ID: 7113041104 Enrollment ID: I20110927000361 |
Provider Name | Kamil Erfanian |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1639105844 PECOS PAC ID: 0143225458 Enrollment ID: I20121004000220 |
Provider Name | Jessica Cristina Moncayo-perez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386997724 PECOS PAC ID: 4082866934 Enrollment ID: I20121129000091 |
Provider Name | Deborah A Castaneda |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1508099318 PECOS PAC ID: 0941438675 Enrollment ID: I20140102000430 |
Provider Name | Jyzelle Fahsbender |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548505951 PECOS PAC ID: 7416189568 Enrollment ID: I20140404000167 |
Provider Name | Irina Rypnina |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326459223 PECOS PAC ID: 2062636624 Enrollment ID: I20140623000439 |
Provider Name | Fadi Saied |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1013179712 PECOS PAC ID: 7315100757 Enrollment ID: I20140918002637 |
Provider Name | Svetlana Rimmer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841240447 PECOS PAC ID: 8921019316 Enrollment ID: I20141224000512 |
Provider Name | Virit D Butani |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316204654 PECOS PAC ID: 2466764220 Enrollment ID: I20150708000022 |
Provider Name | Eric I Ferkel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1588982508 PECOS PAC ID: 6901049014 Enrollment ID: I20150806010428 |
Provider Name | David K Wahba |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1730335548 PECOS PAC ID: 2860611993 Enrollment ID: I20150820010908 |
Provider Name | Jonathan J Falakassa |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1285959106 PECOS PAC ID: 7416264478 Enrollment ID: I20150923002813 |
Provider Name | Jared A Niska |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1427364579 PECOS PAC ID: 2365614021 Enrollment ID: I20160829002637 |
Provider Name | Sana Hasib Khan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669765764 PECOS PAC ID: 7618256371 Enrollment ID: I20161121000961 |
Provider Name | Alireza Sedaghat Namini |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124331095 PECOS PAC ID: 7810269883 Enrollment ID: I20170825001685 |
Provider Name | Matthew Evans Snow |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609294115 PECOS PAC ID: 0244503027 Enrollment ID: I20170829003868 |
Provider Name | Karl Balch |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1902127525 PECOS PAC ID: 1850535097 Enrollment ID: I20170925002562 |
Provider Name | Harpreet Singh Bawa |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033472022 PECOS PAC ID: 9537461314 Enrollment ID: I20180911000601 |
Provider Name | Brianna G M Abadie |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1861811291 PECOS PAC ID: 6608117270 Enrollment ID: I20190408002869 |
Provider Name | Lucas Anthony Hultman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316301807 PECOS PAC ID: 0547593485 Enrollment ID: I20190610001240 |
Provider Name | Ling Bing Li |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649833773 PECOS PAC ID: 3678801149 Enrollment ID: I20190821002784 |
Provider Name | Jarrad Allen Merriman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1619397361 PECOS PAC ID: 6103154257 Enrollment ID: I20190827002883 |
Provider Name | Velia Lozick |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184107195 PECOS PAC ID: 6406288075 Enrollment ID: I20191120001041 |
Provider Name | Armen Haroutunian |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1588041412 PECOS PAC ID: 1153611520 Enrollment ID: I20191231001718 |
Provider Name | Ashutosh Shelat |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851778096 PECOS PAC ID: 9739489345 Enrollment ID: I20200605000506 |
Provider Name | Daniel S Orlovich |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1891072070 PECOS PAC ID: 8820410921 Enrollment ID: I20200618001089 |
Provider Name | Joseph Roy Mendelis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467847525 PECOS PAC ID: 2163845751 Enrollment ID: I20200715001481 |
Provider Name | Rahul Gobind Samtani |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1336535111 PECOS PAC ID: 8729385018 Enrollment ID: I20200715002415 |
Provider Name | Evan Edward Vellios |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1609294479 PECOS PAC ID: 7214289883 Enrollment ID: I20200716001249 |
Provider Name | Alexander Brandon Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093312134 PECOS PAC ID: 6002235264 Enrollment ID: I20201007002913 |
Provider Name | Oluwadamilola Olubusayo Oluyede |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1558758185 PECOS PAC ID: 9638416241 Enrollment ID: I20210118000457 |
Provider Name | Austin Charles Myles Gray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902404635 PECOS PAC ID: 3870907561 Enrollment ID: I20210120001226 |
Provider Name | Shivani Ajay Suklikar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578155289 PECOS PAC ID: 6103233598 Enrollment ID: I20210331002406 |
Provider Name | Jeff Scott Kimball |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1750814182 PECOS PAC ID: 3375922529 Enrollment ID: I20220620000868 |
Provider Name | Ivanna Lynn Kenwood |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1699329052 PECOS PAC ID: 6901287044 Enrollment ID: I20220720001377 |
Provider Name | Jonathan Ramin |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1336502079 PECOS PAC ID: 0648670505 Enrollment ID: I20221005000268 |
Provider Name | Alexis Bianca Maglalang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598353302 PECOS PAC ID: 5799151791 Enrollment ID: I20221017001081 |
Provider Name | Theodore Benjamin Shybut |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1407046584 PECOS PAC ID: 0244362853 Enrollment ID: I20230105002554 |
Provider Name | Connor M Delman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1710351077 PECOS PAC ID: 7315310406 Enrollment ID: I20230609002283 |
Provider Name | Francis Pablo Bustos |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1386179612 PECOS PAC ID: 2668742404 Enrollment ID: I20230612001911 |
Provider Name | Brandon Michael Nudelman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1285131482 PECOS PAC ID: 9032576665 Enrollment ID: I20230613001116 |
Provider Name | Brandon Joseph Grooms |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1215426952 PECOS PAC ID: 4385004696 Enrollment ID: I20230718004121 |
Provider Name | Matthew R Olesen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710130323 PECOS PAC ID: 4789741505 Enrollment ID: I20240117004700 |
Mailing Address | Practice Location Address |
---|---|
Ucla Integrated Provider Network 5767 W Century Blvd, Los Angeles, CA 90045-5631 Ph: () - | Ucla Integrated Provider Network 100 Ucla Medical Plaza Ste 460, Los Angeles, CA 90095-6970 Ph: (310) 433-8998 |
West Beverly Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3545 Griffith Park Blvd, Los Angeles, CA 90027 Phone: 323-664-4331 Fax: 323-664-4331 | |
Steve M Tung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 | |
University Podiatry Group, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz, #460, Los Angeles, CA 90095 Phone: 310-443-8999 Fax: 310-208-4847 | |
Western Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 966 S Western Ave Ste 205, Los Angeles, CA 90006 Phone: 323-733-1500 Fax: 323-733-1724 | |
Dr. Pegah Samouhi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Los Angeles, CA 90048 Phone: 310-657-2828 | |
University Foot And Ankle Institute A Podiatric Surgical Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3984 S Figueroa St, Los Angeles, CA 90037 Phone: 213-747-7272 Fax: 310-791-3311 | |
Charles E Ananian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 Fax: 323-264-0099 |