Active NPI
UC San Diego, Pathology Dept
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
National Provider Identifier
1023596731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- UC SAN DIEGO, PATHOLOGY DEPT
- Practice address
- East Campus Office Building
Medical Center Dr
San Diego, CA 92037 - Phone
- (858) 657-6772
- NPI assigned
- Aug 3, 2018
- Last updated
- Aug 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeenal Gordhandas
- Title
- Resident
- Phone
- (415) 624-7424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
East Campus Office Building
Medical Center Dr
San Diego, CA 92037
Mailing address
7565 Charmant Dr Unit 412
San Diego, CA 92122-5003
Phone (415) 624-7424
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533254400000",
"number": "1023596731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7565 CHARMANT DR UNIT 412",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225003",
"telephone_number": "415-624-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST CAMPUS OFFICE BUILDING",
"address_2": "MEDICAL CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-657-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UC SAN DIEGO, PATHOLOGY DEPT",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A",
"authorized_official_last_name": "GORDHANDAS",
"authorized_official_first_name": "JEENAL",
"authorized_official_title_or_position": "RESIDENT",
"authorized_official_telephone_number": "415-624-7424"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- UC San Diego Foundation (UCSD Student Run Free Clinic Project)
- UC San Diego Health - Monica Perlman Clinic
- UC San Diego Health Accountable Care Network, Inc.
- UC San Diego Health Community Group
- UC San Diego Health System
- UC Telehealth Collaborative
- Tripti Uchhana, AOD
- Taeko Uchino-Dicarlo, PSY.D.
- Alexandra Ucich, CMT
- Megan Suyematsu Ucich, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.