UNIVERSITY OF CALIFORNIA SAN DIEGO (NPI# 1184722779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184722779 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA SAN DIEGO |
| Other Organization Name | UCSD MEDICAL CENTER |
| Practice Address |
200 West Arbor Drive Mc8937 San Diego CA 92103-8937 |
| Mailing Address |
File 55663 Los Angeles CA 90074-5663 |
| Practice Telephone | 6195436308 |
| Mailing Telephone | 6195436308 |
| Mailing Fax Number | 6195433003 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | MS. LORI R DONALDSON (CFO) |
| Authorized Official Telephone | 6195436060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 090000101 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | 050025 | 01 |
| CA | BLUE SHIELD | ZZZA3715Z | 01 |
| CA | DEPARTMENT OF LABOR | 126090400 | 01 |
| CA | WISCONSIN PHYSICIAN SVCS | 0084 | 01 |
| CA | BLUE SHIELD | ZZZA3723Z | 01 |
| CA | HSC30025W | 05 |
| Other Name | Type Code |
|---|---|
| UCSD Medical Center | Doing Business As Name - Organization |
| University of California San Diego, Medical Center | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9300 Campus Point Dr, La Jolla, CA 920371300 | 6195436308 | |
| 9400 Campus Point Dr, La Jolla, CA 920931350 | 6195436308 | |
| 9434 Medical Center Dr, La Jolla, CA 920371337 | 6195436308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679831325 | University of California San Diego | Health Maintenance Organization | 4527 Contour Blvd, Unir 7, San Diego, CA 92115-3464 | 2012-05-01 |
| 1841600806 | University of California San Diego | Clinic/Center | 220 Dickinson St, Mail Code 8208, San Diego, CA 92103-2071 | 2014-04-30 |
| Street Address |
200 WEST ARBOR DRIVE MC8937 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-8937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003873175 | Steven Douglas Hickman | Psychologist | 200 West Arbor Drive, Mc8218, San Diego, CA 92103-8218 | 2006-05-01 |
| 1700442449 | Joelle Takahashi | Internal Medicine | 200 West Arbor Drive, San Diego, CA 92103-8770 | 2019-05-17 |
| 1891359154 | Morgan Elizabeth Davis | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, San Diego, CA 92103-8829 | 2019-04-23 |
| 1386107548 | Jorge Roberto De La Torre | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, Mail Code 8829, San Diego, CA 92103-8829 | 2019-04-12 |
| 1851854806 | Michael Paluy | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, Mc 8770, San Diego, CA 92103 | 2019-04-08 |
| 1972062867 | Niels D. Naimon | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, Mc8676, San Diego, CA 92103-8676 | 2019-03-19 |
| 1972062735 | Jared Rosen | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, San Diego, CA 92103-8425 | 2019-03-19 |
| 1033603543 | Gillian Gadiano | Registered Nurse | 200 West Arbor Drive, San Diego, CA 92103-8501 | 2018-06-18 |
| 1396234662 | Taraz Nicholas Nosrat | Anesthesiology | 200 West Arbor Drive, Mc 8770, San Diego, CA 92103-1911 | 2018-05-02 |
| 1891206736 | Michelle Variz | Registered Nurse | 200 West Arbor Drive, #8501, San Diego, CA 92103-8501 | 2017-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175374 | Kelly Lynn Memeo | General Acute Care Hospital | 8745 Aero Dr Ste 200, San Diego, CA 92123-1774 | 2016-10-22 |
| 1316392350 | Victor C. Coelho, Md, Inc. | General Acute Care Hospital | 2680 Bellezza Dr, San Diego, CA 92108-4763 | 2016-04-27 |
| 1144680695 | Reid Sasaki Md Inc | General Acute Care Hospital | 5663 Balboa Ave Unit 463, San Diego, CA 92111-2705 | 2016-02-25 |
| 1487028734 | Jfk Memorial Hospital | General Acute Care Hospital | 7717 Dancy Rd, San Diego, CA 92126-3040 | 2015-11-25 |
| 1124369632 | Brandon D Miller | General Acute Care Hospital | 2007 Pelican Hill Rd, San Diego, CA 92139-1152 | 2013-03-07 |
| 1992019020 | Catherine Ubaldo | General Acute Care Hospital | 2089 Chatsworth Blvd Apt 15, San Diego, CA 92107-2736 | 2010-07-30 |
| 1104143643 | Vision Medical Logistics | General Acute Care Hospital | 5555 Magnatron Blvd Ste I, San Diego, CA 92111-1308 | 2010-04-23 |
| 1891017729 | Uc San Diego Department of Anesthesiology | General Acute Care Hospital | 200 W Arbor Drive, #0801, Ucsd Dept of Anesthesiology, San Diego, CA 92103 | 2010-02-19 |
| 1275764292 | Ucsd Surgery | General Acute Care Hospital | 1240 India St Unit 914, San Diego, CA 92101-8551 | 2009-08-07 |
| 1982859138 | Cris Louise Rash | General Acute Care Hospital | 8811 Geraldine Ave, San Diego, CA 92123-2912 | 2008-12-01 |
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| 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.