REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1790179539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790179539 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Other Organization Name | UCSD PHYSICIANS NETWORK - PRIMARY CARE |
| Practice Address |
6699 Alvarado Rd Suite 2100 San Diego CA 92120-5244 |
| Mailing Address |
Po Box 740511 Los Angeles CA 90074-0511 |
| Practice Telephone | 6192293920 |
| Mailing Telephone | 6192293920 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | JOHN DUNCAN CAMPBELL (EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6195433982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCSD Physicians Network - Primary Care | Other Name - Individual/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 |
6699 ALVARADO RD SUITE 2100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768327 | Theodore M. Mazer | Otolaryngology | 6699 Alvarado Rd, Ste 2209, San Diego, CA 92120-5240 | 2005-05-24 |
| 1144777590 | Oleg M. Gavrilyuk, M.d., PC | Physical Medicine & Rehabilitation | 6699 Alvarado Rd, #2302, San Diego, CA 92120-5244 | 2016-09-01 |
| 1013356005 | Joseph Vincent Mahon | Physical Therapist | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2013-06-23 |
| 1225384308 | Ashley Deppe | Dietitian, Registered | 6699 Alvarado Rd, 2100, San Diego, CA 92120-5244 | 2012-07-26 |
| 1770850406 | Institute of Healthcare Assessment, Inc. | Specialist | 6699 Alvarado Rd, Suite 2309, San Diego, CA 92120-5238 | 2011-11-23 |
| 1386922904 | Alexandra Reed Myers | Family Medicine | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2011-07-31 |
| 1114222155 | Sumana & Ananthram Reddy Md Inc | Allergy & Immunology | 6699 Alvarado Rd, Suite 2301, San Diego, CA 92120-5238 | 2011-01-24 |
| 1750615324 | Sperm Bank, Inc | Clinical Medical Laboratory | 6699 Alvarado Rd, Ste 2208, San Diego, CA 92120-5238 | 2009-09-29 |
| 1902051311 | Bernard J. Urlaub, Md, Inc | Surgery | 6699 Alvarado Rd, Ste. 2210, San Diego, CA 92120-5238 | 2008-11-26 |
| 1568624336 | Chitra Safaya | Internal Medicine | 6699 Alvarado Rd, Suite 2308, San Diego, CA 92120-5244 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145138 | Vishal Verma Md Inc | Family Medicine | 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 | 2020-08-20 |
| 1225651508 | Charles N Le Medical Alliance, Professional Corp. | Family Medicine | 4440 Euclid Ave Ste A, San Diego, CA 92115-4522 | 2020-05-21 |
| 1457992927 | Huong T L Nguyen Md Inc | Family Medicine | 4444 El Cajon Blvd Ste 6, San Diego, CA 92115-4392 | 2019-10-04 |
| 1265082838 | Jessica Lynn Ross | Family Medicine | 1670 Kettner Blvd Apt 109, San Diego, CA 92101-2556 | 2019-09-16 |
| 1306406251 | Patrick Sweet Md PC | Family Medicine | 4460 Teralta Pl, San Diego, CA 92103-1247 | 2019-06-13 |
| 1225503048 | San Diego Health LLC | Family Medicine | 6610 Flanders Dr Ste 100, San Diego, CA 92121-3940 | 2018-10-08 |
| 1427553502 | Behrang Dehkordi Md Inc | Family Medicine | 444 W C St Ste 185, San Diego, CA 92101-3597 | 2018-03-29 |
| 1245767037 | Tam K Tran | Family Medicine | 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 | 2017-05-11 |
| 1912350455 | Ruben G Flores | Family Medicine | 2470 Pine Street, San Diego, CA 92103 | 2016-07-20 |
| 1396124145 | Chevon Alderson | Family Medicine | 4305 La Jolla Village Dr # 2518, San Diego, CA 92122-1270 | 2015-05-27 |
| 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.