Regents of the University of California
Organization Active NPI Psychiatry Physician · San Diego, CA
NPI 1508968967 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1508968967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Dennis Price
- Title
- Director Revenue Cycle & Operations
- Phone
- (858) 249-6752
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 8
Practitioners 2,182
-
Amy D Bacani, MS, MFT
-
Nora Bammidi, M.D
-
Gregory F Bishop, M.D.
-
Christopher Robert Booth, PSYD
-
Marc Patrick Boulanger II, DNP, PMHNP-BC
-
Victoria Rose Brown, MSN, PMHNP-BC
-
Shane Castro, MD
-
Nicholas John Chesher, PH.D.
-
Suemin Chung, PMHNP-BC
-
Ashley Lin Clark, M.D.
-
Donna Christine Corbett, PSY.D.
-
Zafiris Jeffrey Daskalakis, MD, PHD, FRCP(C)
-
Lisa M. Delano-Wood, PH.D.
-
Jaenai Diaz, LCSW
-
John Lyle Esten, LCSW
-
Leslie B Fijolek, L.C.S.W.
-
David Parker Folsom, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031203000756 | CA | Part B Supplier - Clinic/Group Practice | 3577476761 |
Receives reassigned benefits from 221 practitioners Practice locations: San Diego, CA; San Deigo, CA; Vista, CA; Encinitas, CA; La Jolla, CA |
National Provider Directory
- Tax ID family
- Ucsc Medical Group
Locations
350 Dickinson St
San Diego, CA 92103
Phone (619) 543-6635
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | |||
| Psychologist |
103T00000X | |||
| Clinical Psychologist |
103TC0700X | CA | ||
| Clinical Child & Adolescent Psychologist |
103TC2200X | |||
| Group Psychotherapy Psychologist |
103TP2701X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Specialist |
174400000X | |||
| Psychiatry Physician |
2084P0800X | Yes | ||
| Addiction Psychiatry Physician |
2084P0802X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X | |||
| Geriatric Psychiatry Physician |
2084P0805X |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
File 57326
Los Angeles, CA 90074-2410
Phone (800) 926-8273
Other practice location 1
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-5273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CQ4024 | Other | RAILROAD MEDICARE | |
| 364823305 | Other | US DEPT OF LABOR | |
| ZZZP3711Z | Medicaid | CA | |
| 364823307 | Other | US DEPT OF LABOR | |
| 364823310 | Other | US DEPT OF LABOR | |
| 364823300 | Other | US DEPT OF LABOR | |
| 364823303 | Other | US DEPT OF LABOR | |
| 364823304 | Other | US DEPT OF LABOR | |
| GPS000030 | Medicaid | CA | |
| 364823301 | Other | US DEPT OF LABOR | |
| 364823306 | Other | US DEPT OF LABOR | |
| 364823308 | Other | US DEPT OF LABOR | |
| ZZZ73229Z | Other | CA | BLUE SHIELD |
| 364823302 | Other | US DEPT OF LABOR | |
| CGP016905 | Other | CA | GHPP |
Other names
- UCSD Medical Group
Other providers in San Diego, CA
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
All providers in San Diego, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.