REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1013035716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013035716 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Other Organization Name | UCSD PEDIATRIC AND ADOLESCENT ASSOCIATES |
| Practice Address |
7910 Frost Street Ste 350 San Diego CA 92123-2771 |
| Mailing Address |
3860 Calle Fortunada Ste 200 San Diego CA 92123-4800 |
| Practice Telephone | 8584964800 |
| Practice Fax Number | 8584964850 |
| Mailing Telephone | 8585021135 |
| Mailing Fax Number | 8586364319 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | BRETTEN DRAKE PICKERING (DIVISION CHIEF OF GENERAL ACADEMIC) |
| Authorized Official Telephone | 8584964827 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0105540 | 05 | |
| CA | BLUE SHIELD | ZZZ69468Z | 01 |
| Other Name | Type Code |
|---|---|
| UCSD Pediatric and Adolescent Associates | 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 |
7910 FROST STREET STE 350 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292521 | Chest Medicine and Critical Care Medical Group, Inc. | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2005-08-12 |
| 1740560044 | Olga D. Rose | Pediatrics | 7910 Frost Street, Suite 350, San Diego, CA 92123-2776 | 2011-08-18 |
| 1588816086 | Tevy Tith | Obstetrics & Gynecology | 7910 Frost Street, San Diego, CA 92123-4223 | 2008-10-15 |
| 1699955625 | Carol Elizabeth Hecker | Nurse Practitioner | 7910 Frost Street, Suite 450, San Diego, CA 92123 | 2007-11-07 |
| 1114146636 | Marcy L Thornton | Nurse Practitioner | 7910 Frost Street, Suite 400, San Diego, CA 92123-2753 | 2007-04-24 |
| 1811034143 | Richard S. Sacks | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2007-01-30 |
| 1861506495 | Lori Wan | Internal Medicine | 7910 Frost Street, Suite 350, San Diego, CA 92123 | 2006-08-19 |
| 1053334292 | Michelle Lynne Leff | Pediatrics | 7910 Frost Street, Suite 350, San Diego, CA 92123 | 2006-07-26 |
| 1407846157 | Juan Deza | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2005-10-25 |
| 1336132331 | Charles F. Landers | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2005-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548449564 | Family Wellness Medical Corporation | Pediatrics | 3582 National Ave, Suite #2, San Diego, CA 92113-3157 | 2007-10-26 |
| 1548308109 | Nguyen L Le | Pediatrics | 5507 El Cajon Blvd # B, San Diego, CA 92115-3624 | 2007-02-02 |
| 1366478398 | Suzanne Mills | Pediatrics | 12395 El Camino Real Ste 217, San Diego, CA 92130-3084 | 2006-06-23 |
| 1851390025 | Karen L Wilson | Pediatrics | 3811 Valley Centre Dr, San Diego, CA 92130 | 2005-07-19 |
| 1134461569 | Camille Angela Robinson | Pediatrics | 2051 Cushing Rd, San Diego, CA 92106 | 2013-03-24 |
| 1265401186 | James Donald Coullahan | Pediatrics | 34800 Bob Wilson Dr, Nmcsd,attn:medical Staff Services, San Diego, CA 92134-1098 | 2006-03-14 |
| 1295706596 | James J Chun | Pediatrics | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
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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.