NPIMap

Organization Active NPI

University of California, San Diego

  • Public Health or Welfare Agency
  • San Diego, CA
National Provider Identifier
1063768091
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
390200000 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA, SAN DIEGO
Practice address
3851 Rosecrans St
San Diego, CA 92110-3115
Phone
(619) 542-4156
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Diana Pannizon, PSY D.
Title
Assistant Program Director
Phone
(619) 542-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 390200000 CA Primary

Addresses

Primary practice location

3851 Rosecrans St
San Diego, CA 92110-3115

Mailing address

11223 Paseo Montanoso Apt 282
San Diego, CA 92127-5953
Phone (760) 518-3119

National Provider Directory

National Provider Directory
Tax ID family
Ucsd Health System27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1063768091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 PASEO MONTANOSO APT 282",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275953",
            "telephone_number": "760-518-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-542-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "PANNIZON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ASSISTANT PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "619-542-4156",
        "authorized_official_credential": "PSY D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "390200000",
            "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 Jul 27, 2012; 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.