Organization Active NPI

UC San Diego, Pathology Dept

  • Anatomic Pathology & Clinical Pathology Physician
  • San Diego, CA
National Provider Identifier
1023596731
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.