REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1770042129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770042129 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Practice Address |
9400 Campus Point Dr La Jolla CA 92093-1350 |
| Mailing Address |
File No 57326 Los Angeles CA 90074-0001 |
| Practice Telephone | 8009268273 |
| Mailing Telephone | 8582496748 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | LORI DONALDSON (CFO) |
| Authorized Official Telephone | 6195436613 |
| Is Organization Subpart | Y |
| Parent Organization Name | UCSD MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Koman Family Outpatient Pavilion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521891 | Regents of The University of California | Orthopaedic Surgery | 10250 Santa Monica Blvd Ste 2450, Los Angeles, CA 90067-6593 | 2020-02-27 |
| 1013560960 | Regents of The University of California | Occupational Therapist | 4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 | 2019-07-19 |
| 1851851372 | Regents of The University of California | Orthopaedic Surgery | 3605 Alamo St Ste 200, Simi Valley, CA 93063-2186 | 2019-03-21 |
| 1235642950 | Regents of The University of California | Clinic/Center | 2521 Stockton Blvd Ste 2200, Sacramento, CA 95817-2207 | 2017-11-16 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1871989269 | Regents of The University of California | Clinic/Center | 4323 Riverside Dr, Burbank, CA 91505-4044 | 2015-04-13 |
| 1750723540 | Regents of The University of California | Podiatrist | 100 Ucla Medical Plaza Ste 460, Los Angeles, CA 90095-6970 | 2013-07-23 |
| 1427396779 | Regents of The University of California | Pharmacy | 4501 X St Rm 1008, Sacramento, CA 95817-2229 | 2013-01-22 |
| 1336487685 | Regents of The University of California | Pharmacy | 4860 Y St Rm 1200, Sacramento, CA 95817-2307 | 2013-01-22 |
| 1174758650 | Regents of The University of California | Clinical Medical Laboratory | 101 The City Dr S Bldg 23, Orange, CA 92868-3201 | 2009-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | REGENTS OF THE UNIVERSITY OF CALIFORNIA | 1111 Franklin St, Flr 10, Oakland, CA 94607 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA AT RIVERSIDE | 200 Universty Office Bldg, Riverside, CA 92521-0001 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE | 1855 Folsom St Ste 425, San Francisco, CA 94143-4249 |
| Street Address |
9400 CAMPUS POINT DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235122961 | Jose Luis Ruiz | Physician Assistant | 9400 Campus Point Dr, La Jolla, CA 92093 | 2005-08-29 |
| 1578196416 | Eric James Jemera | Physical Therapist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2020-02-19 |
| 1760026140 | Janet Amy Rodelo | Occupational Therapist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2019-10-29 |
| 1902447782 | Samuel Martinez | Pharmacist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2019-10-03 |
| 1598306250 | Tracy Joy Trazo King | Pharmacist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2019-10-03 |
| 1790288389 | Jonna Lynn Griggs | Physician Assistant | 9400 Campus Point Dr, La Jolla, CA 92037 | 2018-03-09 |
| 1497142293 | Yi Cai | Anesthesiology | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2015-04-20 |
| 1811308489 | Teja Karukonda | Orthopaedic Surgery | 9400 Campus Point Dr, La Jolla, CA 92093 | 2014-05-16 |
| 1336258276 | Jennifer E Capozzi | Nurse Practitioner | 9400 Campus Point Dr, La Jolla, CA 92093 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741936 | Scripps Clinic Medical Group | Clinic/Center | 9844 Genesee Ave, Suite 100 & 400, La Jolla, CA 92037-1222 | 2005-12-19 |
| 1780669473 | Scripps Clinic Medical Group | Clinic/Center | 9894 Genesee Ave, La Jolla, CA 92037-1205 | 2005-12-14 |
| 1396720082 | Scripps Clinic Medical Group | Clinic/Center | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2005-12-14 |
| 1275899072 | Scripps Health | Clinic/Center | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2012-04-05 |
| 1952386443 | Scripps Clinic Medical Group | Clinic/Center | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878117 | Cameron S Francis Md Inc | Clinic/Center | 1431 Camino Del Mar, Del Mar, CA 92014-2509 | 2020-10-15 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| 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.