Active NPI
Regents of the University of California
Doing business as UCSD Ambulatory Care Pharmacy
- Community/Retail Pharmacy
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Doing business as
- UCSD Ambulatory Care Pharmacy
- Practice address
- 16950 Via Tazon Ste 1B
San Diego, CA 92127-1607 - Phone
- (858) 249-4103
- Fax
- (858) 675-1186
- NPI assigned
- Sep 24, 2018
- Last updated
- Jul 24, 2025
- Organization subpart
- Yes
- Parent organization
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Spangenberg
- Title
- Director, Ucsd Amcare Pharmacy
- Phone
- (858) 249-4821
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
16950 Via Tazon Ste 1B
San Diego, CA 92127-1607
Mailing address
PO Box 743475
Los Angeles, CA 90074-3475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHE56879 | Other | CA | STATE BOARD OF PHARMACY, CALIFORNIA |
| 5667398 | Other | NCPDP |
Other names 2
- UCSD Ambulatory Care Pharmacy
- UCSD Community Pharmacy North
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190424003313 | CA | Part B Supplier - Pharmacy | 1658523931 | Practice locations: San Diego, CA |
| O20191014002972 | CA | DME Supplier - Pharmacy | 1658523931 | Practice locations: San Diego, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community/Retail Pharmacy
- Encinitas, CA
- NPI 1518300532
1658523931
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ucsd Community Pharmacy North | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Regents of the University of Ca-Ucsd Ambulatory Care Pharmacy
- Part of
- Ucsd Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Encinitas, CA
- NPI 1518300532
Locations
1200 Garden View Rd
#103
Encinitas, CA 92024
Phone (760) 536-7686
8939 Villa La Jolla Dr
#129
La Jolla, CA 92037
Phone (858) 657-2220
16950 Via Tazon
Ste 1B
San Diego, CA 92127
Phone (858) 249-4103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1750865812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743475",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900743475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16950 VIA TAZON STE 1B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271607",
"telephone_number": "858-249-4103",
"fax_number": "858-675-1186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
"enumeration_date": "2018-09-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "SPANGENBERG",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "DIRECTOR, UCSD AMCARE PHARMACY",
"authorized_official_telephone_number": "858-249-4821"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY, CALIFORNIA",
"identifier": "PHE56879",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5667398",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UCSD Ambulatory Care Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UCSD Community Pharmacy North",
"code": "5",
"type": "Other Name"
}
]
}
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 (UCSD Home Infusion Pharmacy)
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.