REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSD MEDICAL GROUP (NPI# 1225130677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225130677 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSD MEDICAL GROUP |
| Other Organization Name | UCSD DEPT OF ORTHOPEDIC SURGERY & ORTHO NP |
| 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 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. MICHAEL DENNIS PRICE (DIRECTOR REVENUE CYCLE & OPERATIONS) |
| Authorized Official Telephone | 6195434624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| US DEPT OF LABOR | 364823306 | 01 | |
| CA | CMS | 2327 | 01 |
| US DEPT OF LABOR | 364823302 | 01 | |
| RAILROAD MEDICARE | CQ4024 | 01 | |
| CA | ZZZP3717Z | 05 | |
| CA | BLUE SHIELD ORTHO GRP | ZZZ26554Z | 01 |
| US DEPT OF LABOR | 364823305 | 01 | |
| CA | GHPP | CGP016905 | 01 |
| US DEPT OF LABOR | 364823307 | 01 | |
| US DEPT OF LABOR | 364823310 | 01 | |
| CA | GCT000400 | 05 | |
| CA | GRE000080 | 05 | |
| US DEPT OF LABOR | 364823301 | 01 | |
| US DEPT OF LABOR | 364823308 | 01 | |
| US DEPT OF LABOR | 364823300 | 01 | |
| US DEPT OF LABOR | 364823303 | 01 | |
| US DEPT OF LABOR | 364823304 | 01 | |
| CA | GNP000060 | 05 |
| Other Name | Type Code |
|---|---|
| UCSD Dept of Orthopedic Surgery & Ortho NP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386762300 | 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 |
| 1487772380 | Regents of The University of California-ucsd Medical Group | Allergy & Immunology | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2007-03-27 |
| 1174626618 | Regents of The University of California-ucsd Medical Group | Obstetrics & Gynecology | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-07 |
| 1699877621 | Regents of The University of California-ucsd Medical Group | Optometrist | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-01 |
| 1760594998 | Regents of The University of California-ucsd Medical Group | Neurological Surgery | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-01 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650187 | Jb Ortho, Inc. | Orthopaedic Surgery | 4060 Fourth Ave Ste 630, San Diego, CA 92103-2118 | 2020-05-14 |
| 1962794198 | William Kent | Orthopaedic Surgery | 200 W Arbor Dr., San Diego, CA 92103 | 2011-05-05 |
| 1194014258 | Jaysson Trevor Brooks | Orthopaedic Surgery | 3030 Childrens Way Fl 3, San Diego, CA 92123-4232 | 2011-03-29 |
| 1821227463 | Robert K. Eastlack Md Inc | Orthopaedic Surgery | 5265 Amber View Pt, San Diego, CA 92130-6933 | 2009-07-03 |
| 1568627602 | Adam M Holleran | Orthopaedic Surgery | 2930 Barnard St Unit 7301, San Diego, CA 92110-5729 | 2008-07-28 |
| 1356505705 | Michael Lucius Pomerantz | Orthopaedic Surgery | 4445 Eastgate Mall Ste 105, San Diego, CA 92121 | 2008-07-15 |
| 1962660928 | Nilofar Faghihnia | Orthopaedic Surgery | 425 W Beech St Unit 1306, San Diego, CA 92101-2961 | 2008-05-27 |
| 1700074127 | Jeremy Bell Mccandless | Orthopaedic Surgery | 4060 4th Ave Ste 700, San Diego, CA 92103-2121 | 2007-10-10 |
| 1043418759 | Oke Adrian Anakwenze | Orthopaedic Surgery | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2007-07-03 |
| 1205996097 | Harish Sadanand Hosalkar | Orthopaedic Surgery | 15151 Almond Orchard Ln, San Diego, CA 92131-4328 | 2006-12-11 |
| 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.