REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSD MEDICAL GROUP (NPI# 1487772380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487772380 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSD MEDICAL GROUP |
| Other Organization Name | UCSD DEPT OF ALLERGY |
| Practice Address |
200 West Arbor Drive Mc-8201 Attn: Provider Enrollment Department San Diego CA 92103-8201 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 6195436164 |
| Practice Fax Number | 6195433183 |
| Mailing Telephone | 6195436164 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MR. MICHAEL DENNIS PRICE (DIRECTOR REVENUE CYCLE & OPERATIONS) |
| Authorized Official Telephone | 6195434624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | CQ4024 | 01 |
| CA | GR0013562 | 05 | |
| CA | ZZZP3708Z | 05 |
| Other Name | Type Code |
|---|---|
| UCSD Dept of Allergy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386762300 | Regents of The University of California-ucsd Medical Group | Internal Medicine | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2007-03-27 |
| 1174626618 | Regents of The University of California-ucsd Medical Group | Obstetrics & Gynecology | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-07 |
| 1225130677 | Regents of The University of California-ucsd Medical Group | Orthopaedic Surgery | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-05 |
| 1699877621 | Regents of The University of California-ucsd Medical Group | Optometrist | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-01 |
| 1760594998 | Regents of The University of California-ucsd Medical Group | Neurological Surgery | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-01 |
| Street Address |
200 WEST ARBOR DRIVE MC-8201 ATTN: PROVIDER ENROLLMENT DEPARTMENT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-8201 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1417363086 | Rhonda Emily Alkatib | Allergy & Immunology | 2655 Camino Del Rio N Ste 120, San Diego, CA 92108-1633 | 2014-07-03 |
| 1235424771 | Maria Luz Lara-marquez | Allergy & Immunology | 3675 Ruffin Rd Ste 120, San Diego, CA 92123-1870 | 2011-06-13 |
| 1346424462 | Gary Alan Cohen | Allergy & Immunology | 9833 Pacific Heights Blvd, Ste J, San Diego, CA 92121-4074 | 2007-12-26 |
| 1134333073 | Allergy Associates Medical Group Inc | Allergy & Immunology | 6386 Alvarado Court, Suite 210, San Diego, CA 92120-4907 | 2007-05-10 |
| 1144373655 | Kusum Sharma | Allergy & Immunology | 10755 Scripps Poway Pkwy, Suite 455, San Diego, CA 92131-3924 | 2007-01-19 |
| 1831204494 | Gary A Cohen Md Inc | Allergy & Immunology | Ste J, 9833 Pacific Heights Blvd, San Diego, CA 92121-4707 | 2006-08-21 |
| 1285654889 | Marc Andrew Riedl | Allergy & Immunology | 8899 University Center Ln Ste 230, San Diego, CA 92122 | 2006-07-19 |
| 1013907286 | Brian Douglass Stone | Allergy & Immunology | 2655 Camino Del Rio N, #120, San Diego, CA 92108-1633 | 2005-10-27 |
| 1700336237 | Martin Lizerbram | Allergy & Immunology | 4005 Caminito Terviso, San Diego, CA 92122-1991 | 2016-10-07 |
| 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.