UNIVERSITY OF CALIFORNIA, SAN DIEGO (NPI# 1669661815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669661815 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA, SAN DIEGO |
| Other Organization Name | MEDICAL GENETICS |
| Practice Address |
9350 Campus Point Dr Ste 2d La Jolla CA 92037-1300 |
| Mailing Address |
9310 Campus Point Dr Ste B La Jolla CA 92037-1300 |
| Practice Telephone | 8586577206 |
| Practice Fax Number | 8586577201 |
| Mailing Telephone | 8586577206 |
| Mailing Fax Number | 8586577201 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | JASON CHIBUK (LEAD GENETIC COUNSELOR) |
| Authorized Official Telephone | 8586577212 |
| Authorized Official Credential | M.S., CGC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QG0250X |
Clinic/Center Specialization: Genetics |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Genetics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063768091 | University of California, San Diego | Public Health or Welfare | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2012-07-27 |
| 1730321217 | University of California, San Diego | Pharmacy | 220 Dickinson St, Suite: A, San Diego, CA 92103-2071 | 2009-03-31 |
| Street Address |
9350 CAMPUS POINT DR STE 2D |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1300 |
| 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 | 261QG0250X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Genetics |
| An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. |
| Notes: [7/1/2003: new] |
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| 1235797044 | Marlboro Cancer Screening Center Inc | Clinic/Center | 11340 Mountain View Ave Ste B, Loma Linda, CA 92354-3858 | 2019-06-05 |
| 1346763711 | Genetic Foresight | Clinic/Center | 2150 Shattuck Ave Ph Genetic, Berkeley, CA 94704-1370 | 2017-07-18 |
| 1821499963 | Lucile Packard Children's Hospital Stanford | Clinic/Center | 725 Welch Rd # Mc5652, Palo Alto, CA 94304-1601 | 2014-09-09 |
| 1831352012 | California Pacific Medical Center | Clinic/Center | 3700 California St Rm 4360, San Francisco, CA 94118-1618 | 2008-07-08 |
| 1134306541 | Esoterix Genetic Counseling | Clinic/Center | 655 East Huntington Dr, Monrovia, CA 91016-3636 | 2008-01-28 |
| 1962044479 | Ushc Us Health Clinics | Clinic/Center | 3751 Motor Ave Ste 1392, Los Angeles, CA 90034-6403 | 2019-10-16 |
| 1043761125 | Lucile Packard Children's Hospital | Clinic/Center | 730 Welch Rd, Neurology Cc71015, Palo Alto, CA 94304-1503 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
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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.