REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP (NPI# 1003934803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003934803 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
| Other Organization Name | UCSD DEPT OF NEPHROLOGY |
| Practice Address |
200 West Arbor Drive Mc-8201 Attn: Provider Enrollment Department San Diego CA 92103-8201 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 6195436164 |
| Practice Fax Number | 6195433183 |
| Mailing Telephone | 6195436164 |
| Mailing Fax Number | 6195433183 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MR. MICHAEL DENNIS PRICE (DIRECTOR, REVENUE CYCLE & OPERATION) |
| Authorized Official Telephone | 6195434624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ09218Z | 01 |
| CA | GR0013562 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ69123Z | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZP3722Z | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ09217Z | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZP3708Z | 01 |
| CA | ZZZP3708Z | 05 | |
| CA | RAILORAD MEDCIARE | CQ4024 | 01 |
| Other Name | Type Code |
|---|---|
| UCSD Dept of Nephrology | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1558463927 | Regents of The University of California - Ucsd Medical Group | Radiology | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-05 |
| Street Address |
200 WEST ARBOR DRIVE MC-8201 ATTN: PROVIDER ENROLLMENT DEPARTMENT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003873175 | Steven Douglas Hickman | Psychologist | 200 West Arbor Drive, Mc8218, San Diego, CA 92103-8218 | 2006-05-01 |
| 1700442449 | Joelle Takahashi | Internal Medicine | 200 West Arbor Drive, San Diego, CA 92103-8770 | 2019-05-17 |
| 1891359154 | Morgan Elizabeth Davis | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, San Diego, CA 92103-8829 | 2019-04-23 |
| 1386107548 | Jorge Roberto De La Torre | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, Mail Code 8829, San Diego, CA 92103-8829 | 2019-04-12 |
| 1851854806 | Michael Paluy | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, Mc 8770, San Diego, CA 92103 | 2019-04-08 |
| 1972062867 | Niels D. Naimon | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, Mc8676, San Diego, CA 92103-8676 | 2019-03-19 |
| 1972062735 | Jared Rosen | Student in an Organized Health Care Education/Training Program | 200 West Arbor Drive, San Diego, CA 92103-8425 | 2019-03-19 |
| 1033603543 | Gillian Gadiano | Registered Nurse | 200 West Arbor Drive, San Diego, CA 92103-8501 | 2018-06-18 |
| 1396234662 | Taraz Nicholas Nosrat | Anesthesiology | 200 West Arbor Drive, Mc 8770, San Diego, CA 92103-1911 | 2018-05-02 |
| 1891206736 | Michelle Variz | Registered Nurse | 200 West Arbor Drive, #8501, San Diego, CA 92103-8501 | 2017-10-18 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184019051 | Viet Duy Nguyen | Internal Medicine | 4060 Fourth Ave Ste 220, San Diego, CA 92103-2120 | 2015-03-30 |
| 1659624732 | Dinna Cruz | Internal Medicine | 200 W Arbor Dr # Mc8201, Ucsd Medical Group - Mc 8201, San Diego, CA 92103-1911 | 2012-10-26 |
| 1770834319 | Coleman Albert Mosley Jr. | Internal Medicine | 1855 Lyndon Rd, San Diego, CA 92103-1644 | 2012-09-22 |
| 1205046182 | Shaunak Vijay Rana | Internal Medicine | 1804 Garnet Ave, #721, San Diego, CA 92109-3352 | 2007-05-22 |
| 1811043607 | Robert W Steiner | Internal Medicine | 4168 Front Street, Mc 8781, San Diego, CA 92103-8781 | 2007-01-26 |
| 1437217841 | Samir S Shah | Internal Medicine | 220 W. Arbor Dr. Dept 8781, San Diego, CA 92103-8781 | 2006-12-05 |
| 1609983253 | Robyn Alice Cunard | Internal Medicine | 151 Mail Code, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2006-08-23 |
| 1356312219 | Shagun Chopra-sonthalia | Internal Medicine | 3500 Bob Wilson Dr, San Diego, CA 92121-2666 | 2006-01-30 |
| 1043215502 | Alfredo B. Tiu | Internal Medicine | 200 W Arbor Dr, Owen Clinic, San Diego, CA 92103-9001 | 2005-06-20 |
| 1760487458 | Jadwiga M Alexiewicz | Internal Medicine | 7910 Frost St, Ste 220, San Diego, CA 92123-2771 | 2005-06-17 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP.
| 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.