NPIMap

Organization Active NPI

Regents of the University of California

  • Pharmacy
  • San Diego, CA
National Provider Identifier
1447051370
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice address
4250 1St Ave
RM 1-601
San Diego, CA 92103
Phone
(619) 471-0230
Fax
(619) 543-7791
NPI assigned
Mar 24, 2025
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Tracey Jane Spangenberg
Title
Pharmacy Director
Phone
(619) 543-6194

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

4250 1St Ave
RM 1-601
San Diego, CA 92103

Mailing address

PO Box 743475
Los Angeles, CA 90074-3475

Other names 2

  • UCSD Medical Center Doing business as
  • UCSD MCGRATH PAVILION RETAIL PHARMACY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130719000452 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2769376938 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; La Jolla, CA
O20250909000758 CA DME Supplier - Pharmacy 2769376938 Practice locations: San Diego, CA

All facility ownership & control disclosures 5

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Centro Regional Medical CenterEl Centro, CA, CCN 050045 Hospital Operational/Managerial Control (100%) Jan 1, 2016
Ucsd Medical CenterSan Diego, CA, CCN 05S025 Hospital Operational/Managerial Control Jan 1, 2016
Accentcare Home Health at UC San Diego Health LLCSan Diego, CA, CCN 053172 Home health agency 5% Or Greater Direct Ownership Interest (30%) Jul 1, 2015
El Centro Outpatient CenterEl Centro, CA, CCN 058518 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2016
Calexico Outpatient CenterCalexico, CA, CCN 058536 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California25 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 24

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

View all 24

Locations

3855 Health Sciences Dr
La Jolla, CA 92093
Phone (858) 822-6094

3855 Health Sciences Dr
Ste 845
La Jolla, CA 92093
Phone (858) 822-6088

6809 Convoy Ct
San Diego, CA 92111

4168 Front St
#1127
San Diego, CA 92103
Phone (619) 543-5933

4250 1st Ave
Rm 1601
San Diego, CA 92103
Phone (619) 471-0230

200 W Arbor Dr
#8765
San Diego, CA 92103
Phone (619) 543-2460

330 Lewis St
#2
San Diego, CA 92103
Phone (619) 471-9235

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ucsd McGrath Pavilion Retail Pharma4250 1St Ave, San Diego, CA 92103(619) 471-0230 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2017

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1447051370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743475",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 1ST AVE",
            "address_2": "RM 1-601",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-471-0230",
            "fax_number": "619-543-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "SPANGENBERG",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "619-543-6194"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSD MCGRATH PAVILION RETAIL PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.