University of California San Diego

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

478956 Issued in CA

Legal business name

UNIVERSITY OF CALIFORNIA SAN DIEGO

Practice address

4527 Contour Blvd
Unir 7
San Diego, CA 92115-3464

Phone

(619) 582-6950

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Victoria Lynn Wheaton-Young, AANC -BC

Title

FNP MSN

Phone

(619) 582-6950

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1679831325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 CONTOUR BLVD",
            "address_2": "UNIR 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153464",
            "telephone_number": "619-582-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 CONTOUR BLVD",
            "address_2": "UNIR 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153464",
            "telephone_number": "619-582-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "WHEATON-YOUNG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FNP MSN",
        "authorized_official_telephone_number": "619-582-6950",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AANC -BC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "478956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL",
            "identifier": "47856",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University City Physical Therapy
• University Foot and Ankle Specialists, Inc.
• University Internal Medicine
• University of California - San Diego
• University of California Regents
• University of California San Diego
• University of California, San Diego
• University of California, San Diego
• University of California, San Diego
• University of California, San Diego

• Health Maintenance Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.