MEDICARE: UC REGENTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2080P0006X	Developmental - Behavioral Pediatrics Physician
2	2080N0001X	Neonatal-Perinatal Medicine Physician
3	2080P0201X	Pediatric Allergy/Immunology Physician
4	2080P0202X	Pediatric Cardiology Physician
5	2080P0203X	Pediatric Critical Care Medicine Physician
6	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician
7	2080P0205X	Pediatric Endocrinology Physician
8	2080P0206X	Pediatric Gastroenterology Physician
9	2080P0207X	Pediatric Hematology & Oncology Physician
10	2080P0208X	Pediatric Infectious Diseases Physician
11	2080P0210X	Pediatric Nephrology Physician
12	2080P0214X	Pediatric Pulmonology Physician
13	2080P0216X	Pediatric Rheumatology Physician
14	2080S0010X	Pediatric Sports Medicine Physician
15	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1982667663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UC REGENTS

Provider Business Mailing Address
First Line	:	10833 LE CONTE AVE
Second Line	:	32-263 CHS
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-3075
Country	:	US
Telephone Number	:	310-206-3952
Fax Number	:	310-206-0209

Provider Business Practice Location Address
First Line	:	200 UCLA MEDICAL PLAZA
Second Line	:	SUITE 265
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-8344
Country	:	US
Telephone Number	:	310-825-0867
Fax Number	:	310-206-5146

Authorized Official
Title or Position	:	INTERIM EXECUTIVE CHAIR
Name	:	SHERIN DEVASKAR
Credential	:	M.D.
Telephone Number	:	370-825-5095

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	11/18/2014

Similar Medicare Providers

1194302521 — BYUNG CHUL JI MD
Practice Location Address:

200 UCLA MEDICAL PLZ STE 365B
LOS ANGELES, CA
90095-8344

Practice Phone: 310-825-2448
Practice Fax:

1518194935 — RENEA STURM MD
Practice Location Address:

200 UCLA MEDICAL PLZ STE 170
LOS ANGELES, CA
90095-8344

Practice Phone: 310-825-7911
Practice Fax: 310-825-8003

1528919941 — AKIKO GIESE FNP
Practice Location Address:

200 UCLA MEDICAL PLZ STE 120
LOS ANGELES, CA
90095-8344

Practice Phone: 310-206-6909
Practice Fax:

1003800806 — VICTOR NITTI M.D.
Practice Location Address:

200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA
90095-8344

Practice Phone: 310-794-7700
Practice Fax: 310-794-0211

1215914114 — JOHN S ADAMS MD
Practice Location Address:

200 UCLA MEDICAL PLZ , SUITE 140
LOS ANGELES, CA
90095-8344

Practice Phone: 310-825-0652
Practice Fax:

1225016744 — KATHRYN ANN SULLIVAN AU.D.
Practice Location Address:

200 UCLA MEDICAL PLZ STE 540
LOS ANGELES, CA
90095-8344

Practice Phone: 310-825-5721
Practice Fax: 310-206-2331

Directions to “UC REGENTS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.