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SAN DIEGO BLOOD BANK NPI 1164647954


NPI Information

NPI: 1164647954
Provider Name: SAN DIEGO BLOOD BANK
Classification: Blood Bank - 331L00000X
Entity Type: Organization

CLIA Number: 05D0643088

Address:
3636 GATEWAY CENTER AVE STE 100
SAN DIEGO, CA
ZIP 92102
Phone: (619) 400-8254
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SAN DIEGO BLOOD BANK is a blood bank in San Diego, CA. The provider is an institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation. SAN DIEGO BLOOD BANK NPI is 1164647954. The provider is registered as an organization entity type.

The provider's business location address is:

3636 GATEWAY CENTER AVE STE 100
SAN DIEGO, CA
ZIP 92102-508
Phone: (619) 400-8254
Fax: (619) 725-3003

The provider's authorized official is Helen Amelia Bixenman .
The authorized official title is Chief Quality, Ra & Risk Officer and has the following contact phone number (619) 400-8254.

The CLIA number assigned to this NPI record is 05D0643088 - blood bank with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 11/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1331L00000XBlood BankYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.