NPIMap

Organization Active NPI

Ucsd Health System

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1669864245
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18027 Issued in CA
Legal business name
UCSD HEALTH SYSTEM
Practice address
410 Dickinson St
Suite 100
San Diego, CA 92103-6902
Phone
(619) 471-3877
Fax
(619) 471-9139
NPI assigned
Feb 19, 2015
Organization subpart
Yes
Parent organization
UCSD HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. William Perry, PHD
Title
Chief, Clinical Director
Phone
(858) 534-2827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 18027 CA Primary

Addresses

Primary practice location

410 Dickinson St
Suite 100
San Diego, CA 92103-6902

Mailing address

410 Dickinson St
Suite 100
San Diego, CA 92103-6902
Phone (619) 471-3877

Other names 1

  • UCSD Senior Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Ucsd Student Health Services27 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 26

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

View all 26

Locations

410 Dickinson St
Ste 100
San Diego, CA 92103
Phone (619) 471-9356

Practitioners & affiliated clinicians

Practitioners 1

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": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1669864245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DICKINSON ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036902",
            "telephone_number": "619-471-3877",
            "fax_number": "619-471-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DICKINSON ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036902",
            "telephone_number": "619-471-3877",
            "fax_number": "619-471-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCSD HEALTH SYSTEM",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "858-534-2827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "18027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD Senior Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.