NPIMap

Organization Active NPI

University of California - San Diego

  • Psychiatric Hospital
  • San Diego, CA
National Provider Identifier
1417082033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
UNIVERSITY OF CALIFORNIA - SAN DIEGO
Practice address
200 W Arbor Dr
Mail Code 8620
San Diego, CA 92103-9001
Phone
(619) 543-6350
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sidney Zisook
Title
Residency Director
Phone
(858) 534-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

200 W Arbor Dr
Mail Code 8620
San Diego, CA 92103-9001

Mailing address

5430 La Jolla Blvd
#301
La Jolla, CA 92037-7666
Phone (650) 315-1062

National Provider Directory

National Provider Directory
Tax ID family
Ucsd Student Health Services27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

200 W Arbor Dr
#8620
San Diego, CA 92103
Phone (619) 543-2728

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417082033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 LA JOLLA BLVD",
            "address_2": "#301",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377666",
            "telephone_number": "650-315-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "MAIL CODE 8620",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039001",
            "telephone_number": "619-543-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA - SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZISOOK",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "RESIDENCY DIRECTOR",
        "authorized_official_telephone_number": "858-534-4040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.