Primary Source Verification Search

Primary Source Verification Search

Welcome to the UCLA Health Medical Staff Affiliation website.

We are pleased to provide this online primary source verification service to other hospitals, healthcare organizations and credentialing agents. It is not intended for use by patients or other visitors. By pressing submit you attest that you have a signed copy of the provider's release statement.

Enter all or part of the physician's last name, complete and submit the form. Results will appear and can be printed as a letter.

The information on this website is obtained directly from our Medical Staff database and is updated on an ongoing basis. If this information does not agree with your records, if more information is required; or, if you have any questions please contact the Director at 310-794-8108.

MINIMUM REQUIREMENTS: Internet Explorer and Adobe Acrobat Reader

Enter all or part of the physician's last name, complete and submit the form. Results will appear and can be printed as a credentialing verification letter.
Practitioner Last Name:
Last 4 digits of NPI:
Select facility:
Your Name:
Your Title:
Your Organization:
Verification Results