REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI 1013035716

NPI Information

NPI: 1013035716
Provider Name: REGENTS OF THE UNIVERSITY OF CALIFORNIA

Doing Business As: UCSD PEDIATRIC AND ADOLESCENT ASSOCIATES

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
7910 FROST STREET
STE 350
SAN DIEGO, CA
ZIP 92123
Phone: (858) 496-4800
Get Directions

REGENTS OF THE UNIVERSITY OF CALIFORNIA is an adolescent medicine pediatrics in San Diego, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI is 1013035716. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ucsd Pediatric And Adolescent Associates.

The provider's business location address is:

7910 FROST STREET
STE 350
SAN DIEGO, CA
ZIP 92123-771
Phone: (858) 496-4800
Fax: (858) 496-4850

The provider's authorized official is Bretten Drake Pickering .
The authorized official title is Division Chief Of General Academic and has the following contact phone number (858) 496-4827.

The CLIA number assigned to this NPI record is 05D2117849 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 9/24/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	2080A0000X	Pediatrics	Adolescent Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ69468Z	OTHER	CALIFORNIA	BLUE SHIELD
2	GR0105540	MEDICAID	CALIFORNIA

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

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