Regents of the University of California
Organization Active NPI Certified Registered Nurse Anesthetist · San Diego, CA
NPI 1265535702 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1265535702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Dennis Price
- Title
- Director, Revenue Cycle & Operation
- Phone
- (858) 249-6752
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 8
Practitioners 2,084
-
Alvin M Alfonso, CRNA
-
Jill Emma Anderson, CRNA
-
Katherine S Billington, CRNA
-
Joseph Francis Burkard, DNSC
-
Megan Calabria, DNP
-
John Cavitt, CRNA
-
Daniel James Chalison, CRNA
-
Jessica Chang, CRNA
-
Alice Ann Chen, RN
-
Catherine Spence Chivas, CRNA
-
Jason Wyatt Cole, CRNA
-
Simon Peter Conrad, DNP
-
Paula Monica M Deomampo, DNAP
-
Steven Dolland, CRNA
-
Margaret Driver, CRNA
-
Laura R Dusseau, CRNA
-
Amanda Rose Farris, DNAP, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040102000635 | CA | Part B Supplier - Clinic/Group Practice | 3577476761 |
Receives reassigned benefits from 112 practitioners Practice locations: La Jolla, CA; San Diego, CA |
National Provider Directory
- Tax ID family
- Ucsc Medical Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
File 57326
Los Angeles, CA 90074-2410
Phone (800) 926-8273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CQ4024 | Other | CA | RAILROAD MEDICARE |
| ZZZ25751Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
Other names
- UCSD Medical Group
Other providers in San Diego, CA
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
All providers in San Diego, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.