Ucsd Department of Pediatrics

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

SFP000030 Issued in CA

Legal business name

UCSD DEPARTMENT OF PEDIATRICS

Practice address

7910 Forst St
Suite 100
San Diego, CA 92123

Phone

(858) 246-1738

Fax

(858) 246-1793

NPI assigned

Jul 31, 2015

Last updated

Aug 3, 2015By 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

Prof. Kenneth Lyons Jones, M.D.

Title

Division Chief

Phone

(858) 246-1738

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1255717377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 LADYBIRD LN",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377721",
            "telephone_number": "858-761-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FORST ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-246-1738",
            "fax_number": "858-246-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD DEPARTMENT OF PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LYONS",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "858-246-1738",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "SFP000030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Children's Hospital in San Diego, CA
• Providers in San Diego, CA by specialty
• Children's Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.