NPIMap

Organization Active NPI

Ucsd Medical Center

  • Pharmacy
  • La Jolla, CA
National Provider Identifier
1063172005
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UCSD MEDICAL CENTER
Practice address
3855 Health Sciences Dr # Mc0845
La Jolla, CA 92093-1503
Phone
(858) 822-6088
NPI assigned
Dec 17, 2021
Organization subpart
Yes
Parent organization
UCSD MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Lori Donaldson
Title
Cfo
Phone
(619) 543-6613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3855 Health Sciences Dr # Mc0845
La Jolla, CA 92093-1503

Mailing address

9435 Medical Center Drive Mail Code 7727
La Jolla, CA 92037

Other names 1

  • UCSD Moores Cancer Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California25 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

9435 Medical Center Dr
#7727
La Jolla, CA 92037

3855 Health Sciences Dr
#845
La Jolla, CA 92093
Phone (858) 822-6088

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1063172005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 MEDICAL CENTER DRIVE MAIL CODE 7727",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR # MC0845",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931503",
            "telephone_number": "858-822-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCSD MEDICAL CENTER",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-543-6613"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD Moores Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2021; 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.