NPIMap

Organization Active NPI

University of California, San Diego

  • Clinic/Center
  • La Jolla, CA
National Provider Identifier
1467903682
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RPH 45278 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA, SAN DIEGO
Practice address
3855 Health Sciences Dr
Suite 1036
La Jolla, CA 92093-0845
Phone
(858) 822-6094
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Stephen Edwin Segal
Title
Staff Pharmacist
Phone
(858) 822-6094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RPH 45278 CA Primary

Addresses

Primary practice location

3855 Health Sciences Dr
Suite 1036
La Jolla, CA 92093-0845

Mailing address

3855 Health Sciences Dr
Suite 1036
La Jolla, CA 92093-0845
Phone (858) 822-6094

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2071488University of California San Diego Moores Cancer C3855 Health Sciences Dr # 987, La Jolla, CA 92093Certificate of waiverJan 12, 2028

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

3855 Health Sciences Dr
Ste 1036
La Jolla, CA 92093
Phone (858) 822-6094

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1467903682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR",
            "address_2": "SUITE 1036",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930845",
            "telephone_number": "858-822-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR",
            "address_2": "SUITE 1036",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930845",
            "telephone_number": "858-822-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "858-822-6094",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "RPH 45278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.