UCSD STUDENT HEALTH SERVICE PHARMACY (NPI# 1922470053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922470053 |
| Entity Type | Organization |
| Organization Name | UCSD STUDENT HEALTH SERVICE PHARMACY |
| Practice Address |
9500 Gilman Dr Dept 39 La Jolla CA 92093-0039 |
| Mailing Address |
9500 Gilman Drive, Mail Code 0039 La Jolla CA 92093-0039 |
| Practice Telephone | 8585342135 |
| Practice Fax Number | 8585340814 |
| Mailing Telephone | 8585342135 |
| Mailing Fax Number | 8585340814 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | SUSAN L NAMBA (STAFF PHARMACIST) |
| Authorized Official Telephone | 8585342135 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
RPH27876 | CA | Ambulatory Health Care Facilities |
| Street Address |
9500 GILMAN DR DEPT 39 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-0039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194972950 | Judith Ann Gaspar | Nurse Practitioner | 9500 Gilman Dr Dept 39, La Jolla, CA 92093-0039 | 2008-08-24 |
| 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 | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306047956 | University of California, San Diego | Clinic/Center | 9500 Gilman Drive #0039, La Jolla, CA 92093-0039 | 2007-05-30 |
| 1760016000 | Ryan Ouillette | Clinic/Center | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-02-25 |
| 1326356783 | University of California, San Diego, Student Health Service | Clinic/Center | 9500 Gilman Dr # Mc0039, La Jolla, CA 92093-0039 | 2010-09-20 |
| 1669614533 | Ucsd Student Health Service | Clinic/Center | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2009-03-24 |
| 1093908675 | Uc San Diego Student Health Service Pharmacy | Clinic/Center | 9500 Gilman Drive, La Jolla, CA 92093-0039 | 2007-08-27 |
| 1124222625 | Ucsd Student Health Services | Clinic/Center | 9500 Gilman Drive, La Jolla, CA 92093-0039 | 2007-06-11 |
| 1366643629 | Ucsd Student Health Service | Clinic/Center | 9500 Gilman Dr, La Jolla, CA 92093-0039 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756103 | Wonderful Center for Health Innovation Inc | Clinic/Center | 14848 Lamberson Ave, Lost Hills, CA 93249 | 2020-10-06 |
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1386134815 | Ventura County Community College District | Clinic/Center | 4667 Telegraph Road, Ventura, CA 93003-3872 | 2018-05-10 |
| 1104339761 | Kern Community College District | Clinic/Center | 1801 Panorama Dr, Bakersfield, CA 93305-1219 | 2017-11-06 |
| 1104342393 | Yosemite Community College District | Clinic/Center | 11600 Columbia College Dr, Sonora, CA 95370-8560 | 2017-08-18 |
| 1750813663 | Yosemite Community College District | Clinic/Center | 435 College Ave, Modesto, CA 95350-5808 | 2017-03-30 |
| 1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
| 1083036495 | Nora Anderson | Clinic/Center | 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 | 2014-01-21 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
| 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.