NPIMap

Organization Active NPI

University of California, San Diego

  • Genetics Clinic/Center
  • La Jolla, CA
National Provider Identifier
1669661815
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
Legal business name
UNIVERSITY OF CALIFORNIA, SAN DIEGO
Practice address
9350 Campus Point Dr Ste 2D
La Jolla, CA 92037-1300
Phone
(858) 657-7206
Fax
(858) 657-7201
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Jason Chibuk, M.S., CGC
Title
Lead Genetic Counselor
Phone
(858) 657-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetics Clinic/Center 261QG0250X CA Primary

Addresses

Primary practice location

9350 Campus Point Dr Ste 2D
La Jolla, CA 92037-1300

Mailing address

9310 Campus Point Dr Ste B
La Jolla, CA 92037-1300
Phone (858) 657-7206

Other names 1

  • Medical Genetics Other name

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

9350 Campus Point Dr
Ste 2D
La Jolla, CA 92037
Phone (858) 657-7200

9310 Campus Point Dr
Ste B
La Jolla, CA 92037

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1669661815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 CAMPUS POINT DR STE B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371300",
            "telephone_number": "858-657-7206",
            "fax_number": "858-657-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 CAMPUS POINT DR STE 2D",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371300",
            "telephone_number": "858-657-7206",
            "fax_number": "858-657-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "CHIBUK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LEAD GENETIC COUNSELOR",
        "authorized_official_telephone_number": "858-657-7212",
        "authorized_official_credential": "M.S., CGC"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Genetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 23, 2007; 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.