UCSD MED-CYTOGENETICS (NPI# 1154312775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154312775 |
Entity Type | Organization |
Organization Name | UCSD MED-CYTOGENETICS |
Other Organization Name | UCSD REGENTS OF CALIFORNIA |
Practice Address |
9500 Gilman Drive Mail Code 0639 La Jolla CA 92093-0639 |
Mailing Address |
9500 Gilman Dr Mail Code 0639 La Jolla CA 92093-0639 |
Practice Telephone | 8585344308 |
Practice Fax Number | 8585340269 |
Mailing Telephone | 8585344308 |
Enumeration Date | 2005-11-02 |
Last Update Date | 2008-08-01 |
Authorized Official Name | DR. MARIE DELL'AQUILA PHD (DIRECTOR) |
Authorized Official Telephone | 8585344308 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 291U00000X | Clinical Medical Laboratory | CLIA05D0643070 | CA | Laboratories |
N | 291U00000X | Clinical Medical Laboratory | 05D0643070 | CA | Laboratories |
Y | 291U00000X | Clinical Medical Laboratory | CLF4717 | CA | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LAB43070F | 05 |
Other Name | Type Code |
---|---|
UCSD REGENTS OF CALIFORNIA | Former Legal Business Name - Organization |
Street Address |
9500 GILMAN DRIVE MAIL CODE 0639 |
City | LA JOLLA |
State | CA |
Zip Code | 92093-0639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487179248 | Christopher Migdal | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive, #0851, La Jolla, CA 92093 | 2017-08-13 |
1114459252 | Tiffany Alexis Castillo | Psychiatry & Neurology | 9500 Gilman Drive, Mc #9116a, La Jolla, CA 92093 | 2017-03-29 |
1285097188 | Allison Marie Pastor | Specialist/Technologist | 9500 Gilman Drive, La Jolla, CA 92093 | 2016-03-30 |
1346522141 | Monica Guma | Internal Medicine | 9500 Gilman Drive, La Jolla, CA 92093 | 2011-09-16 |
1174778500 | Theodore Friedmann | General Acute Care Hospital | 9500 Gilman Drive, La Jolla, CA 92093-0634 | 2008-11-26 |
1104073782 | Kenneth Quinto | Internal Medicine | 9500 Gilman Drive, La Jolla, CA 92093-0635 | 2008-08-26 |
1598931552 | Rina Schul | Psychologist | 9500 Gilman Drive, Ucsd Psychological and Counseling Services, La Jolla, CA 92093-0304 | 2008-04-30 |
1467627570 | Christina Danielle Lambert | Psychologist | 9500 Gilman Drive, #0304, La Jolla, CA 92093-0304 | 2008-04-29 |
1578738522 | Samuel Park | Psychologist | 9500 Gilman Drive, Mc 0304, La Jolla, CA 92093-0304 | 2008-04-29 |
1629243670 | Tiffany Omeara | Psychologist | 9500 Gilman Drive, #0304, La Jolla, CA 92093-0304 | 2008-04-29 |
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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 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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---|---|---|---|---|
1598173502 | Dermtech Operations, Inc. | Clinical Medical Laboratory | 11099 N Torrey Pines Rd, Suite 100, La Jolla, CA 92037-1029 | 2014-07-23 |
1487687414 | Susan P Detwiler Md Inc | Clinical Medical Laboratory | 7076 Caminito Valverde, La Jolla, CA 92037-5723 | 2006-07-10 |
1982120978 | Progenesis Inc | Clinical Medical Laboratory | 4150 Regents Park Row, Ste 245, La Jolla, CA 92037 | 2017-08-21 |
1619367679 | Birdrock | Clinical Medical Laboratory | 6515 La Jolla Blvd, B, La Jolla, CA 92037-6066 | 2015-01-29 |
1518217744 | Lcms Solutions, Inc. | Clinical Medical Laboratory | 7301 Girard Ave, Suite 100, La Jolla, CA 92037-5125 | 2012-09-14 |
1962611350 | Susan P Detwiler Md Inc | Clinical Medical Laboratory | 7110 Caminito Pepino, La Jolla, CA 92037-5721 | 2007-05-22 |
1427034990 | Scripps Health | Clinical Medical Laboratory | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2005-12-16 |
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1083212351 | Telomere Diagnostics, Inc. | Clinical Medical Laboratory | 2688 Middlefield Rd Ste A, Redwood City, CA 94063-3483 | 2020-10-09 |
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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.