UCSD DEPARTMENT OF PEDIATRICS (NPI# 1255717377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255717377 |
| Entity Type | Organization |
| Organization Name | UCSD DEPARTMENT OF PEDIATRICS |
| Practice Address |
7910 Forst St Suite 100 San Diego CA 92123 |
| Mailing Address |
5531 Ladybird Ln La Jolla CA 92037-7721 |
| Practice Telephone | 8582461738 |
| Practice Fax Number | 8582461793 |
| Mailing Telephone | 8587611308 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | PROF. KENNETH LYONS JONES (DIVISION CHIEF) |
| Authorized Official Telephone | 8582461738 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
SFP000030 | CA | Hospitals |
| Street Address |
7910 FORST ST SUITE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720316532 | Jacobi Medical Center | General Acute Care Hospital | 6861 Potomac Street, 57, San Diego, CA 92139 | 2009-12-07 |
| 1760575963 | Rady Children's Outpatient Psychiatry | General Acute Care Hospital | 3559 Indiana St Apt 8, San Diego, CA 92103-5244 | 2006-10-02 |
| 1639449994 | Rady Children's Hospital - San Diego | General Acute Care Hospital | 3665 Kearny Villa Rd, Suite 405, San Diego, CA 92123-1953 | 2012-01-04 |
| 1003184862 | Rady Children's Hospital | General Acute Care Hospital | 3020 Children's Way, San Diego, CA 92123 | 2011-12-08 |
| 1972871788 | Rady Children's Hospital San Diego | General Acute Care Hospital | 3020 Childrens Way, San Diego, CA 92123-4223 | 2011-12-07 |
| 1518235720 | Rady Children Hospital and Health Center | General Acute Care Hospital | 3020 Childrens Way, 5081, San Diego, CA 92123-4223 | 2011-12-02 |
| 1306131826 | Ucsd Emergency Medicine | General Acute Care Hospital | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-06-13 |
| 1699080051 | Rady Children's Hospital - San Diego | General Acute Care Hospital | 3665 Kearny Villa Rd, Suite 500, San Diego, CA 92123-1953 | 2010-08-10 |
| 1679701635 | Rady Children's Hospital/chidren's San Diego | General Acute Care Hospital | 3020 Childrens Way, Mc 5075, San Diego, CA 92123-4223 | 2009-06-30 |
| 1306042726 | Rady Childrens Hospital | General Acute Care Hospital | 3020 Childrens Way, San Diego, CA 92123-4223 | 2007-06-22 |
| Find all providers in SAN DIEGO | ||||
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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.