REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP


Address: 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201
Phone: 6195436164

REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP (NPI# 1326141862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326141862
Entity Type Organization
Organization Name REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
Other Organization Name UCSD DEPT OF PLASTIC SURGERY
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 2006-09-07
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
Allopathic & Osteopathic Physicians
N 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
Allopathic & Osteopathic Physicians
Y 208200000X Plastic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA CMS 2327 01
US DEPT OF LABOR 364823304 01
US DEPT OF LABOR 364823307 01
RAILROAD MEDICARE CQ4024 01
CA ZZZP3716Z 05
US DEPT OF LABOR 364823300 01
US DEPT OF LABOR 364823305 01
US DEPT OF LABOR 364823306 01
US DEPT OF LABOR 364823310 01
US DEPT OF LABOR 364823308 01
CA BLUE SHIELD ZZZP3716Z 01
US DEPT OF LABOR 364823302 01
US DEPT OF LABOR 364823301 01
CA GHPP CGP016905 01
US DEPT OF LABOR 364823303 01

Other Provider/Organization Names

Other Name Type Code
UCSD Dept of Plastic Surgery Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417050956 Regents of The University of California - Ucsd Medical Group Radiology 330 Lewis Street, Ucsd Medical Group - Mc 8201, San Diego, CA 92103-8201 2006-09-07
1306064126 Regents of The University of California - Ucsd Medical Group Pharmacy 200 West Arbor Dr, Mc8201 - Ucsd Provider Enrollment Dept., San Diego, CA 92103-1911 2007-04-24
1336267137 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
1003934803 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
1376646869 Regents of The University of California - Ucsd Medical Group Anesthesiology 200 West Arbor Dr, Ucsd Mail Code 8986, San Diego, CA 92103-8986 2006-09-07
1356444897 Regents of The University of California - Ucsd Medical Group Anesthesiology 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103 2006-09-07
1265535702 Regents of The University of California - Ucsd Medical Group Nurse Anesthetist, Certified Registered 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-07
1386746741 Regents of The University of California - Ucsd Medical Group Pediatrics 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-05
1508968967 Regents of The University of California - Ucsd Medical Group Psychiatry & Neurology 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-05
1558463927 Regents of The University of California - Ucsd Medical Group Radiology 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-05

Office Location

Street Address 200 WEST ARBOR DRIVE
MC-8201 ATTN: PROVIDER ENROLLMENT DEPARTMENT
City SAN DIEGO
State CA
Zip Code 92103-8201

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1790341832 Frederic Jerome Kolb Plastic Surgery 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 2019-05-14
1891213245 Rishi Jindal Md Inc Plastic Surgery 12264 El Camino Real Ste 101, San Diego, CA 92130-3060 2017-09-06
1548530454 Dan Sullivan Smith Plastic Surgery 5988 Saint Denis Ter, San Diego, CA 92120-3015 2012-01-09
1134453640 Gary Haves Manchester Plastic Surgery 3720 Fourth Ave, San Diego, DC 92110-4763 2009-09-30
1992937304 Stuart B Kincaid Md, Facs, Apc Plastic Surgery 8929 University Center Ln Ste 201, San Diego, CA 92122-1008 2009-08-18
1851528137 Aram Harijan Plastic Surgery 1830 Reed Ave Apt 2, San Diego, CA 92109 2009-06-15
1760636534 Ahmad Nazih Saad Plastic Surgery 5370 Toscana Way, Unit H212, San Diego, CA 92122-5656 2008-11-06
1528239761 Innovative Plastic & Cosmetic Surgery Inc Plastic Surgery 6610 Flanders Dr, Suite 101, San Diego, CA 92121-3940 2008-03-16
1316069503 Salvatore John Pacella IIi Plastic Surgery 12395 El Camino Real Ste 112, San Diego, CA 92130-3084 2007-04-06
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

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.

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