Organization Active NPI

UC San Diego Department of Anesthesiology

  • General Acute Care Hospital
  • San Diego, CA
National Provider Identifier
1891017729
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A117918 Issued in CA
Legal business name
UC SAN DIEGO DEPARTMENT OF ANESTHESIOLOGY
Practice address
200 W Arbor Drive, #0801
Ucsd Dept of Anesthesiology
San Diego, CA 92103
Phone
(802) 324-1399
NPI assigned
Feb 19, 2010
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Gerard Manecke, MD
Title
Physician
Phone
(619) 471-0670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AZ
General Acute Care Hospital 282N00000X A117918 CA Primary

Addresses

Primary practice location

200 W Arbor Drive, #0801
Ucsd Dept of Anesthesiology
San Diego, CA 92103

Mailing address

701 Kettner Blvd
Unit 202
San Diego, CA 92101-5908
Phone (802) 324-1399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1891017729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 KETTNER BLVD",
            "address_2": "UNIT 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015908",
            "telephone_number": "802-324-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DRIVE, #0801",
            "address_2": "UCSD DEPT OF ANESTHESIOLOGY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "802-324-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC SAN DIEGO DEPARTMENT OF ANESTHESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MANECKE",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "619-471-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A117918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2013; 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.