NPIMap

Organization Active NPI

Regents of the University of California, San Diego

  • Neurological Surgery Physician
  • Murrieta, CA
National Provider Identifier
1417993452
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN DIEGO
Practice address
25150 Hancock Ave
Suite# 210
Murrieta, CA 92562-5987
Phone
(951) 461-6988
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Lawrence F. Marshall, M.D.
Title
Chief, Division of Neurosurgery
Phone
(619) 543-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X CA Primary

Addresses

Primary practice location

25150 Hancock Ave
Suite# 210
Murrieta, CA 92562-5987

Mailing address

PO Box 51013
Los Angeles, CA 90051-5313
Phone (858) 974-9766

Other identifiers 1

IdentifierTypeStateIssuer
GR0057991MedicaidCA

Other names 1

  • UCSD NEUROSURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

25150 Hancock Ave
#S210
Murrieta, CA 92562
Phone (951) 461-6286

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417993452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51013",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515313",
            "telephone_number": "858-974-9766",
            "fax_number": "858-974-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE",
            "address_2": "SUITE# 210",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625987",
            "telephone_number": "951-461-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF, DIVISION OF NEUROSURGERY",
        "authorized_official_telephone_number": "619-543-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD NEUROSURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.