Alice A Kuo
Pediatrics

Address: 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075
Phone: 3102063952

Alice A Kuo (NPI# 1316056146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1316056146
Entity Type Individual
Full Name Alice A Kuo
Credential M.D.
Gender Female
Practice Address 10833 Le Conte Ave
12-441 Mdcc
Los Angeles
CA 90095-3075
Practice Telephone 3102063952
Practice Fax Number 3102060209
Mailing Address 10833 Le Conte Ave
12-441 Mdcc
Los Angeles
CA 90095-3075
Mailing Telephone 3103158900
Mailing Fax Number 3103158902
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-29
Last Update Date 2013-01-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208000000X Pediatrics Allopathic & Osteopathic Physicians A63708 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00A637080 MEDICAID
CA 1316056146 OTHER MEDI CAL

Physician Overview

NPI 1316056146
PAC ID by PECOS 0749306546
Professional Enrollment ID I20100929001324
Full Name Alice A Kuo
Organization Legal Name UC REGENTS
Gender F
Medical School UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 1355248584
Number of Group Practice Members 824
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050112 SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL

Office Location

Street Address 10833 LE CONTE AVE
12-441 MDCC
City LOS ANGELES
State CA
Zip Code 90095-3075

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598761942 Dennis Goldfinger Specialist 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2005-06-21
1508322819 Gregory Asatrian Dentist 10833 Le Conte Ave, 30-121 Chs, Los Angeles, CA 90095-1668 2019-02-12
1629532916 Ben Rosenbaum Dentist 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2019-01-30
1215406269 Patricia Miranda Jardack Dietitian, Registered 10833 Le Conte Ave, 37-075 Chs, Los Angeles, CA 90095-1697 2018-11-20
1871072553 Glen Van Arsdell Thoracic Surgery (Cardiothoracic Vascular Surgery) 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2018-08-13
1902392566 Faraz Tavoossi Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Ao-156a Chs, Los Angeles, CA 90095 2018-07-06
1962997882 Reeva Mincer Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2018-06-22
1831683242 Marina Dutra-clarke Genetic Counselor, MS 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2018-06-19
1285127597 Stephanie Jasmine Vargas Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2018-06-11
1356831317 Adam Phillip Gordon Braun Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2018-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1730675299 Chloe Meyer Student in an Organized Health Care Education/Training Program 714 Tiverton Ave, Chs 20-137, Los Angeles, CA 90095 2018-07-09
1952894487 Tony Chan Optometrist 200 Stein Plaza Ds-124, Los Angeles, CA 90095 2018-06-09
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
1720583560 Shire Lynn Beach Student in an Organized Health Care Education/Training Program Ucla Medicine Education Office, Rrucla Medical Center, 757 Westwood Plaza, Suite 7501, Los Angeles, CA 90095 2018-03-26
1619471661 Abigail Rose Olson Arons Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Medicine-pediatrics, Los Angeles, CA 90095 2018-03-22
1184128688 Nima Moaven Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave Fl 2, Los Angeles, CA 90095 2018-03-20
1487156428 Merdie Kristine Delfin Nurse Practitioner 200 Medical Plaza 140, Los Angeles, CA 90095 2018-03-06
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710445283 West Tower Pediatrics Pediatrics 8635 W 3rd St Ste 260w, Los Angeles, CA 90048-6113 2019-03-04
1578030359 Pm Pediatrics of Los Angeles Pediatrics 8731 W Pico Blvd, Los Angeles, CA 90035-2205 2018-10-30
1609368471 Children's Health Alliance of Medical Providers, Inc. Pediatrics 4601 W Sunset Blvd, Los Angeles, CA 90027-6020 2018-06-06
1558897272 Ngoc Thien Nguyen Pediatrics 1827 Wilcox Ave Apt 103, Los Angeles, CA 90028-4871 2017-05-02
1538600317 Sarah Dabagh Pediatrics 4650 W Sunset Blvd Ms#68, Los Angeles, CA 90027 2017-03-14
1528501822 Harmanpreet Chawla Pediatrics 444 S Kingsley Dr, Apt 149, Los Angeles, CA 90020-3267 2016-11-18
1568815413 Jennifer Clare Miller Pediatrics 146 S Kenter Ave, Los Angeles, CA 90049-4018 2016-07-15
1063869196 John Banks Harlow Pediatrics 807 Hyperion Ave, Apt 7, Los Angeles, CA 90029-3157 2016-05-18
1457710808 Barry Charles Smith Pediatrics 10637 Wilkins Ave, Unit 2, Los Angeles, CA 90024-5870 2016-02-14
1275911364 Eric Tsay Pediatrics 10833 Le Conte Ave # 22-315, Los Angeles, CA 90095-3075 2015-05-11
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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