REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP


Address: 200 West Arbor Dr, Mc 8201 Ucsd Medical Group, Provider Enrollment Dept., San Diego, CA 92103-1911
Phone: 6195431884

REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP (NPI# 1831208826) 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) 1831208826
Entity Type Organization
Organization Name REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
Practice Address 200 West Arbor Dr
Mc 8201 Ucsd Medical Group, Provider Enrollment Dept.
San Diego
CA 92103-1911
Mailing Address Po Box 232410
San Diego
CA 92193-2410
Practice Telephone 6195431884
Practice Fax Number 6195433183
Enumeration Date 2006-08-30
Last Update Date 2018-06-21
Authorized Official Name MR. DENNIS PRICE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8582496752
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZB0001X Pathology
Specialization: Blood Banking & Transfusion Medicine
Allopathic & Osteopathic Physicians
N 207ZC0500X Pathology
Specialization: Cytopathology
Allopathic & Osteopathic Physicians
N 207ZD0900X Pathology
Specialization: Dermatopathology
Allopathic & Osteopathic Physicians
N 207ZF0201X Pathology
Specialization: Forensic Pathology
Allopathic & Osteopathic Physicians
N 207ZH0000X Pathology
Specialization: Hematology
Allopathic & Osteopathic Physicians
N 207ZI0100X Pathology
Specialization: Immunopathology
Allopathic & Osteopathic Physicians
N 207ZM0300X Pathology
Specialization: Medical Microbiology
Allopathic & Osteopathic Physicians
N 207ZN0500X Pathology
Specialization: Neuropathology
Allopathic & Osteopathic Physicians
N 207ZP0007X Pathology
Specialization: Molecular Genetic Pathology
Allopathic & Osteopathic Physicians
N 207ZP0101X Pathology
Specialization: Anatomic Pathology
Allopathic & Osteopathic Physicians
N 207ZP0104X Pathology
Specialization: Chemical Pathology
Allopathic & Osteopathic Physicians
N 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
Allopathic & Osteopathic Physicians
N 207ZP0213X Pathology
Specialization: Pediatric Pathology
Allopathic & Osteopathic Physicians
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
US DEPT OF LABOR 364823308 01
CA GHPP CGP016905 01
BLUE SHIELD GRP ZZZ26234Z 01
US DEPT OF LABOR 364823300 01
US DEPT OF LABOR 364823302 01
CA CALOPTIMA GR0013570 01
US DEPT OF LABOR 364823306 01
CA GR0013570 05
US DEPT OF LABOR 364823303 01
CA RYAN WHITE 72 01
CA CMS 13933 01
US DEPT OF LABOR 364823301 01
US DEPT OF LABOR 364823305 01
RAILROAD MEDICARE CQ4024 01
US DEPT OF LABOR 364823304 01
US DEPT OF LABOR 364823307 01
US DEPT OF LABOR 364823310 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417050956 Regents of The University of California - Ucsd Medical Group Radiology 330 Lewis Street, Ucsd Medical Group - Mc 8201, San Diego, CA 92103-8201 2006-09-07
1306064126 Regents of The University of California - Ucsd Medical Group Pharmacy 200 West Arbor Dr, Mc8201 - Ucsd Provider Enrollment Dept., San Diego, CA 92103-1911 2007-04-24
1336267137 Regents of The University of California - Ucsd Medical Group Internal Medicine 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2007-03-27
1003934803 Regents of The University of California - Ucsd Medical Group Internal Medicine 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2007-03-27
1326141862 Regents of The University of California - Ucsd Medical Group Plastic Surgery 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-07
1376646869 Regents of The University of California - Ucsd Medical Group Anesthesiology 200 West Arbor Dr, Ucsd Mail Code 8986, San Diego, CA 92103-8986 2006-09-07
1356444897 Regents of The University of California - Ucsd Medical Group Anesthesiology 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103 2006-09-07
1265535702 Regents of The University of California - Ucsd Medical Group Nurse Anesthetist, Certified Registered 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-07
1386746741 Regents of The University of California - Ucsd Medical Group Pediatrics 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-05
1508968967 Regents of The University of California - Ucsd Medical Group Psychiatry & Neurology 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-05

Office Location

Street Address 200 WEST ARBOR DR
MC 8201 UCSD MEDICAL GROUP, PROVIDER ENROLLMENT DEPT.
City SAN DIEGO
State CA
Zip Code 92103-1911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548222532 Brandie Jo Ciceri Nurse Practitioner 200 West Arbor Dr, Uscd Medical Center - Dept. of Gi, San Diego, CA 92103 2006-04-05
1649799370 Dmitri Lerner Pharmacist 200 West Arbor Dr, San Diego, CA 92103-7695 2017-09-13
1568726602 Vincent Cheung Student in an Organized Health Care Education/Training Program 200 West Arbor Dr, Division of Neurosurgery, Mailcode 8893, San Diego, CA 92103 2012-07-03
1629385836 Gert Diederick Victor Pretorius Thoracic Surgery (Cardiothoracic Vascular Surgery) 200 West Arbor Dr, Mc 8892, San Diego, CA 92103-9001 2010-09-09
1275702797 Frank J Papatheofanis Nuclear Medicine 200 West Arbor Dr, Ucsd Radop;pgu Mc 8758, San Diego, CA 92103-8758 2008-02-28
1700087376 Michael R Peterson Pathology 200 West Arbor Dr, Mc 8720, San Diego, CA 92103-8720 2007-05-30
1275744252 Merry Christine Blantz Nurse Practitioner 200 West Arbor Dr, San Diego, CA 92103-8409 2007-05-24
1699988667 Julie Lynn Marek Bykowski Radiology 200 West Arbor Dr, Mc 8756, San Diego, CA 92103-8756 2007-05-07
1356554323 Sharon Brouha Radiology 200 West Arbor Dr, Mc 8756, San Diego, CA 92103-8756 2007-05-07
1770796781 Danielle B Nanigian Radiology 200 West Arbor Dr, Mc 8756, San Diego, CA 92103-8756 2007-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
1548786163 Uc San Diego Pathology 200 West Arbor Drive Mc 8320, San Diego, CA 92103 2017-08-15
1669818456 Stephanie Erin Muller Pathology 9295 Farnham Street, Suite 100, San Diego, CA 92123 2013-05-20
1740571264 Lynn A Lancaster Pathology 4633 E Talmadge Dr, San Diego, CA 92116-4829 2011-05-02
1255633442 Lawrence Browning Willes Pathology 200 W Arbor Dr # Mc8720, San Diego, CA 92103-9001 2010-11-22
1063724920 Veena Singh Pathology 9640 Towne Centre Dr Ste 200, San Diego, CA 92121-1963 2010-07-08
1194056820 James Russell Nickel Pathology 3446 Hancock St, Suite C, San Diego, CA 92110-4306 2010-01-20
1386832640 Aamir Ahsan Pathology 9295 Farnham St Ste 100, San Diego, CA 92123-1254 2007-10-11
1437340445 Maria Lourdes Fernandez Reyes Pathology 6371 Rancho Mission Rd, Unit 2, San Diego, CA 92108-2016 2007-08-05
1316030984 James J Underwood Pathology 9853 Pacific Heights Blvd, Ste B, San Diego, CA 92121-4721 2006-10-02
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Competitor

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City SAN DIEGO
Zip Code 92103

Improve Information

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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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