UCSD MEDICAL CENTER (NPI# 1013359462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013359462 |
| Entity Type | Organization |
| Organization Name | UCSD MEDICAL CENTER |
| Other Organization Name | THE JOHN M & SALLY B THORNTON HOSPITAL |
| Practice Address |
9300 Campus Point Dr Rm Ll-463 La Jolla CA 92037-7275 |
| Mailing Address |
200 West Arbor Drive Mc8765 San Diego CA 92103-8765 |
| Practice Telephone | 8586575891 |
| Mailing Telephone | 6195436194 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | MR. GARY HAGNEY (DIRECTOR, AMCARE PHARMACY SERVICES) |
| Authorized Official Telephone | 6195436194 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | UCSD MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
54511 | CA | Suppliers |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
54511 | CA | Suppliers |
| Y | 333600000X | Pharmacy | 54511 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| The John M & Sally B Thornton Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730273582 | Ucsd Medical Center | Home Infusion | 9610 Ridgehaven Ct, Suite A, San Diego, CA 92123-5603 | 2006-10-03 |
| 1497014278 | Ucsd Medical Center | General Acute Care Hospital | 200 West Arbor Drive, San Diego, CA 92103 | 2012-05-14 |
| 1306105333 | Ucsd Medical Center | Pharmacy | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2012-05-11 |
| 1376641969 | Ucsd Medical Center | Psychiatric Hospital | 200 West Arbor Drive, Mc8937, San Diego, CA 92103-8937 | 2006-09-20 |
| 1598786576 | Ucsd Medical Center | Pharmacy | 200 W Arbor Dr, Rm I317, San Diego, CA 92103-9000 | 2006-07-22 |
| 1316968399 | Ucsd Medical Center | Pharmacy | 4168 Front St, San Diego, CA 92103-2030 | 2006-07-22 |
| 1952322935 | Ucsd Medical Center | Pharmacy | 3855 Health Sciences Dr, # 0845, La Jolla, CA 92093-0845 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UCSD MEDICAL CENTER DEPT HLTH SRVCS CONTRACTING | 200 W Arbor Drive Mail Code 8996, San Diego, CA 92103-1911 |
| Street Address |
9300 CAMPUS POINT DR RM LL-463 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-7275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978992 | Bonnie L Eklund | Nurse Practitioner | 9300 Campus Point Dr, Mail Code 7381, La Jolla, CA 92037-1300 | 2005-11-07 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| 1851905657 | Sophia Tang Chung | Pharmacist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-31 |
| 1679184758 | Alexandra Salcedo | Dietitian, Registered | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-12 |
| 1982227526 | Omid Jalali | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-05-18 |
| 1023638269 | Daniella Klebaner | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-17 |
| 1487283958 | Marissa Robin Craig | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-06 |
| 1790313245 | Kenneth Matthew Zabel | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-31 |
| 1649808692 | Samuel Early | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-27 |
| 1619504024 | Kathryn D Leonard | Physical Therapist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336507565 | Synergy Community Pharmacy LLC | Pharmacy | 7820 Ivanhoe Ave, La Jolla, CA 92037-4501 | 2016-02-02 |
| 1962809780 | Shanzo Inc | Pharmacy | 4150 Regents Park Row, Suite 155, La Jolla, CA 92037-9124 | 2014-11-21 |
| 1306105333 | Ucsd Medical Center | Pharmacy | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2012-05-11 |
| 1235241225 | Mashay Inc | Pharmacy | 9850 Genesee Ave, Ste 160, La Jolla, CA 92037-1224 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
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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.