UCSD MEDICAL CENTER (NPI# 1730273582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730273582 |
| Entity Type | Organization |
| Organization Name | UCSD MEDICAL CENTER |
| Other Organization Name | UCSD HOME INFUSION PHARMACY |
| Practice Address |
9610 Ridgehaven Ct Suite A San Diego CA 92123-5603 |
| Practice Telephone | 6195435231 |
| Practice Fax Number | 6195438220 |
| Mailing Telephone | 6195435231 |
| Mailing Fax Number | 6195438220 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | MS. LORI R DONALDSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6195436060 |
| Is Organization Subpart | Y |
| Parent Organization Name | UCSD MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | 080000011 | CA | Agencies |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PHE37284 | CA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHE37284 | CA | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHE37284 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 0549305 | 01 | |
| BLUE CROSS OF CA | 003738/C230 | 01 | |
| CA | PHA372840 | 05 |
| Other Name | Type Code |
|---|---|
| UCSD Home Infusion Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013359462 | Ucsd Medical Center | Pharmacy | 9300 Campus Point Dr, Rm Ll-463, La Jolla, CA 92037-7275 | 2013-07-26 |
| 1497014278 | Ucsd Medical Center | General Acute Care Hospital | 200 West Arbor Drive, San Diego, CA 92103 | 2012-05-14 |
| 1306105333 | Ucsd Medical Center | Pharmacy | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2012-05-11 |
| 1376641969 | Ucsd Medical Center | Psychiatric Hospital | 200 West Arbor Drive, Mc8937, San Diego, CA 92103-8937 | 2006-09-20 |
| 1598786576 | Ucsd Medical Center | Pharmacy | 200 W Arbor Dr, Rm I317, San Diego, CA 92103-9000 | 2006-07-22 |
| 1316968399 | Ucsd Medical Center | Pharmacy | 4168 Front St, San Diego, CA 92103-2030 | 2006-07-22 |
| 1952322935 | Ucsd Medical Center | Pharmacy | 3855 Health Sciences Dr, # 0845, La Jolla, CA 92093-0845 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UCSD MEDICAL CENTER DEPT HLTH SRVCS CONTRACTING | 200 W Arbor Drive Mail Code 8996, San Diego, CA 92103-1911 |
| Street Address |
9610 RIDGEHAVEN CT SUITE A |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316493794 | Jane Liou | Pharmacist | 9610 Ridgehaven Ct, Suite A, San Diego, CA 92123-5602 | 2016-08-26 |
| 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 | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932485307 | Grossmont Hospital Corporation | Pharmacy | 3558 Ruffin Rd, San Diego, CA 92123-2596 | 2011-10-28 |
| 1699853713 | Rady Children's Health Services-san Diego | Pharmacy | 8291 Aero Pl, Suite 130, San Diego, CA 92123-2040 | 2006-11-02 |
| 1255387718 | Accentcare Home Health of California, Inc. | Pharmacy | 5050 Murphy Canyon Rd Ste 200, San Diego, CA 92123-4399 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897921 | Pharmacy Home Infusion Network | Pharmacy | 900 W Glenoaks Blvd Ste G, Glendale, CA 91202-2664 | 2019-12-04 |
| 1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
| 1386155752 | Toci Health Inc | Pharmacy | 8851 Watson St Apt B, Cypress, CA 90630-2269 | 2017-10-12 |
| 1154875466 | Medquick Prescription Shoppe Inc | Pharmacy | 923 Cole Ave, Los Angeles, CA 90038-2610 | 2016-08-04 |
| 1841665973 | Biomed California, Inc | Pharmacy | 721 S Glasgow Ave., Suite C, Inglewood, CA 90301-3016 | 2015-12-01 |
| 1790158756 | Soleo Health Inc. | Pharmacy | 1324 W. Winton Ave, Hayward, CA 94545-1408 | 2015-11-12 |
| 1982013462 | Medrx Infusion Clinical Pharmacy, LLC | Pharmacy | 415 N Oak St, Inglewood, CA 90302-3314 | 2014-08-08 |
| 1669884722 | Dm Clinical Collaborations | Pharmacy | 6108 San Fernando Rd, Glendale, CA 91201-2240 | 2014-05-23 |
| 1609209352 | Santa Barbara Specialty Pharmacy LLC | Pharmacy | 4690 Carpinteria Ave Ste B, Carpinteria, CA 93013-1875 | 2013-08-16 |
| 1265773501 | Saint Paul Enterprises, Inc. | Pharmacy | 1010 E Arrow Hwy, Covina, CA 91724-1020 | 2013-03-12 |
| Find all providers with the same taxonomy | ||||
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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.