UC SAN DIEGO FOUNDATION (NPI# 1639569098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639569098 |
Entity Type | Organization |
Organization Name | UC SAN DIEGO FOUNDATION |
Other Organization Name | UCSD STUDENT RUN FREE CLINIC PROJECT |
Practice Address |
4041 T St San Diego CA 92113-1808 |
Mailing Address |
9500 Gilman Dr La Jolla CA 92093-0696 |
Practice Telephone | 8585346160 |
Practice Fax Number | 8588223990 |
Mailing Telephone | 8585346160 |
Mailing Fax Number | 8588223990 |
Enumeration Date | 2015-01-23 |
Last Update Date | 2015-01-23 |
Authorized Official Name | DR. SUNNY D SMITH (CLINIC DIRECTOR) |
Authorized Official Telephone | 8585346160 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | UC SAN DIEGO FOUNDATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
UCSD Student Run Free Clinic Project | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598155962 | Uc San Diego Foundation | Clinic/Center | 1561 Thomas Ave, San Diego, CA 92109-4346 | 2015-01-23 |
1578965471 | Uc San Diego Foundation | Clinic/Center | 1420 3rd Ave, San Diego, CA 92101-3103 | 2014-09-23 |
Street Address |
4041 T ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92113-1808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
Find all providers in zip 92113 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902364904 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 5353 Mission Center Rd Ste 115, San Diego, CA 92108-1304 | 2019-03-08 |
1598155962 | Uc San Diego Foundation | Clinic/Center | 1561 Thomas Ave, San Diego, CA 92109-4346 | 2015-01-23 |
1982006573 | Caos, A Medical Corporation | Clinic/Center | 2655 Camino Del Rio, Suite #330, San Diego, CA 92108-1633 | 2014-09-25 |
1578965471 | Uc San Diego Foundation | Clinic/Center | 1420 3rd Ave, San Diego, CA 92101-3103 | 2014-09-23 |
1942616255 | Malchow Chiropractic Inc | Clinic/Center | 12145 Alta Carmel Ct, San Diego, CA 92128-3842 | 2014-07-08 |
1093157604 | Fluvaccine.org | Clinic/Center | 970 Turquoise St, Suite B, San Diego, CA 92109-1141 | 2013-07-24 |
1679760714 | Morteza Mirkarimi | Clinic/Center | 3058 Clairemont Dr, San Diego, CA 92117-6830 | 2007-10-03 |
1316978620 | John J. Doria | Clinic/Center | 3003 4th Ave, San Diego, CA 92103-5801 | 2006-07-05 |
1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
1861969677 | Awesome Healing Acupuncture | Clinic/Center | 2535 Camino Del Rio S Ste 230, San Diego, CA 92108-3795 | 2018-10-30 |
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.