NPIMap

Organization Active NPI

Regents of the University of UC

  • Eyewear Supplier
  • La Jolla, CA
National Provider Identifier
1003001439
Registry record updated Apr 1, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
D3439 Issued in CA
Legal business name
REGENTS OF THE UNIVERSITY OF UC
Practice address
9415 Campus Point Dr
La Jolla, CA 92093
Phone
(858) 450-6532
Fax
(619) 291-3937
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark David Handmacher, OPTICIAN
Title
General Manager
Phone
(858) 450-6532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X D3439 CA Primary

Addresses

Primary practice location

9415 Campus Point Dr
La Jolla, CA 92093

Mailing address

9415 Campus Point Dr
La Jolla, CA 92093
Phone (858) 450-6532

National Provider Directory

National Provider Directory

Locations

9415 Campus Point Dr
La Jolla, CA 92093
Phone (619) 543-3000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1003001439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 CAMPUS POINT DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92093",
            "telephone_number": "858-450-6532",
            "fax_number": "619-291-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 CAMPUS POINT DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92093",
            "telephone_number": "858-450-6532",
            "fax_number": "619-291-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF UC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "HANDMACHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "858-450-6532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D3439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.