UNIVERSITY OF CALIFORNIA, SAN DIEGO (NPI# 1063768091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063768091 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA, SAN DIEGO |
| Practice Address |
3851 Rosecrans St San Diego CA 92110-3115 |
| Mailing Address |
11223 Paseo Montanoso Apt 282 San Diego CA 92127-5953 |
| Practice Telephone | 6195424156 |
| Mailing Telephone | 7605183119 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | DIANA PANNIZON (ASSISTANT PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6195424156 |
| Authorized Official Credential | PSY D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 390200000 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669661815 | University of California, San Diego | Clinic/Center | 9350 Campus Point Dr Ste 2d, La Jolla, CA 92037-1300 | 2007-10-23 |
| 1306047956 | University of California, San Diego | Clinic/Center | 9500 Gilman Drive #0039, La Jolla, CA 92093-0039 | 2007-05-30 |
| 1467903682 | University of California, San Diego | Clinic/Center | 3855 Health Sciences Dr, Suite 1036, La Jolla, CA 92093-0845 | 2016-10-24 |
| 1811447790 | University of California, San Diego | Clinic/Center | 140 Arbor Dr, San Diego, CA 92103-2007 | 2016-10-04 |
| 1548713597 | University of California, San Diego | General Acute Care Hospital | 200 W Arbor Dr, Mc 8320, San Diego, CA 92103-9000 | 2016-07-26 |
| 1730321217 | University of California, San Diego | Pharmacy | 220 Dickinson St, Suite: A, San Diego, CA 92103-2071 | 2009-03-31 |
| Street Address |
3851 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170053 | Stephanie Peck-wheeler | Pharmacist | 3851 Rosecrans St, Ms P-507-j, San Diego, CA 92110-3115 | 2005-08-09 |
| 1801494919 | Jacquelyn Gaynor | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1780282871 | Soofia Khan | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1083212336 | Gabriela Maria Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-09 |
| 1770180101 | Nadia Contreras | Counselor | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1841897717 | Mary Rebecca Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-05 |
| 1598371684 | Reanna Beshelle Craig | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1578170635 | Alisa Sathirabarabongse | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1962018465 | Erik Mantsch | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-20 |
| 1972118248 | Vera Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| 1528595360 | Telecare | Public Health or Welfare | 776 Florence St, San Diego, CA 92132-0001 | 2017-05-11 |
| 1801253869 | Public Health Services-san Diego County | Public Health or Welfare | 3851 Rosecrans St # 207, San Diego, CA 92110-3115 | 2016-01-21 |
| 1437592458 | California Department of Health Care Services | Public Health or Welfare | 9555 Chesapeake Dr Ste 203, San Diego, CA 92123-6394 | 2013-04-09 |
| 1487771192 | Volunteers of America Southwest California | Public Health or Welfare | 650 11th Ave, San Diego, CA 92101-7222 | 2007-03-26 |
| 1255456810 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-20 |
| 1831223247 | Upac Alcohol and Drug Treatment Programs | Public Health or Welfare | 3288 El Cajon Blvd., Suites 13, 12, 11, 10, 6, 3, San Diego, CA 92104-1430 | 2007-03-15 |
| 1770103152 | Community Wellbeing San Diego | Public Health or Welfare | 5203 Caminito Cachorro, San Diego, CA 92105-5357 | 2020-04-25 |
| 1659919140 | Tubi Connect Inc. | Public Health or Welfare | 7071 Consolidated Way, San Diego, CA 92121-2604 | 2019-12-15 |
| Find all providers in SAN DIEGO | ||||
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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.