NPIMap

Organization Active NPI

Regents of the University of California Ucsd Department of Radiology

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1225213655
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA UCSD DEPARTMENT OF RADIOLOGY
Practice address
8929 University Center LN
101
San Diego, CA 92122-1006
Phone
(858) 457-4227
Fax
(858) 457-4231
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Dr. Stephen Dorros, M.D.NPI 1942319959
Title
Vice Chairman, Medical Director
Phone
(619) 543-6766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X CA Primary

Addresses

Primary practice location

8929 University Center LN
101
San Diego, CA 92122-1006

Mailing address

PO Box 741486
Los Angeles, CA 90074-1486

Other identifiers 1

IdentifierTypeStateIssuer
1225213655MedicaidCA

Other names 1

  • UCSD Department of Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

9300 Campus Point Dr
#834
La Jolla, CA 92037

9427 Health Scientists Dr
La Jolla, CA 92093

9452 Medical Center Dr
La Jolla, CA 92037
Phone (858) 246-2016

3510 Dunhill St
San Diego, CA 92121
Phone (858) 457-4227

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

8929 University Center Ln
Ste 10
San Diego, CA 92122

Practitioners & affiliated clinicians

Practitioners 151

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

View all 151

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1225213655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741486",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-457-4227",
            "fax_number": "858-457-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA UCSD DEPARTMENT OF RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "DORROS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "VICE CHAIRMAN, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-543-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225213655",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD Department of Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSD Department of Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2020; 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.