University of San Diego Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

A120237 Issued in CA

Legal business name

UNIVERSITY OF SAN DIEGO MEDICAL CENTER

Practice address

9500 Gilman Dr
Som Building #1, Room 103
La Jolla, CA 92093-5004

Phone

(858) 822-5604

Fax

(858) 822-6994

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Baker, MD

Title

Surgical Resident

Phone

(515) 249-0547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1407112147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 BONAIR ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375974",
            "telephone_number": "515-249-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "SOM BUILDING #1, ROOM 103",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920935004",
            "telephone_number": "858-822-5604",
            "fax_number": "858-822-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SAN DIEGO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SURGICAL RESIDENT",
        "authorized_official_telephone_number": "515-249-0547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A120237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of California, San Diego
• University of California, San Diego
• University of California, San Diego
• University of California, San Diego Medical Center
• University of California, San Diego, Student Health Service
• Chukwunonyelum Amuche Unobagha
• Matthew Ryan Upchurch, DC
• Urban Eyewear Inc
• Monique Urbina, NP
• Jenna Ure

• General Acute Care Hospital in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.