Organization Active NPI

Regents of the University of California

Doing business as UCSD Ambulatory Care Pharmacy

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1750865812
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHE56879OtherCASTATE BOARD OF PHARMACY, CALIFORNIA
5667398OtherNCPDP

Other names 2

  • UCSD Ambulatory Care Pharmacy Doing business as
  • UCSD Community Pharmacy North Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Ucsd Community Pharmacy North16950 Via Tazon, San Diego, CA 92127(858) 249-4103 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 1, 2012

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of Ca-Ucsd Ambulatory Care Pharmacy2 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.