UC SAN DIEGO FOUNDATION


Address: 4041 T St, San Diego, CA 92113-1808
Phone: 8585346160

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
UCSD Student Run Free Clinic Project Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4041 T ST
City SAN DIEGO
State CA
Zip Code 92113-1808

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

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
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Competitor

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City SAN DIEGO
Zip Code 92113

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Dataset Information

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.

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