Ucsd Med-Cytogenetics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4717 Issued in CA

Legal business name

UCSD MED-CYTOGENETICS

Practice address

9500 Gilman Drive
Mail Code 0639
La Jolla, CA 92093-0639

Phone

(858) 534-4308

Fax

(858) 534-0269

NPI assigned

Nov 2, 2005

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marie Dell'Aquila PHD, PHD

Title

Director

Phone

(858) 534-4308

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• UCSD REGENTS OF CALIFORNIA Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Louise Dell'Aquila, PH.D.

  • Clinical Cytogenetics Physician
  • La Jolla, CA
  • NPI 1619956380
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1154312775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "MAIL CODE 0639",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930639",
            "telephone_number": "858-534-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DRIVE",
            "address_2": "MAIL CODE 0639",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930639",
            "telephone_number": "858-534-4308",
            "fax_number": "858-534-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD MED-CYTOGENETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "DELL'AQUILA PHD",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-534-4308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLIA05D0643070",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0643070",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB43070F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD REGENTS OF CALIFORNIA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christopher M. Uchiyama, M.D.
• Ucsd
• Ucsd
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• Ucsd Heath Care
• Ucsd Medical Center (UCSD Moores Cancer Center)
• Ucsd Medical Center (The John M & Sally B Thornton Hospital Pharmacy)
• Ucsd Student Health Service
• Ucsd Student Health Service Pharmacy
• Ucsd Student Health Services

• Clinical Medical Laboratory in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.