NPIMap

Organization Active NPI

Ucsd Occupational Medicine

  • Occupational Medicine Clinic/Center
  • San Diego, CA
National Provider Identifier
1891131314
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
090000101 Issued in CA
Legal business name
UCSD OCCUPATIONAL MEDICINE
Practice address
8899 University Center LN Ste 160
San Diego, CA 92122-1035
Phone
(858) 657-1600
Fax
(858) 657-1606
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
UC SAN DIEGO HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Mr. Nick Carrino
Title
Administrative Assistant II
Phone
(619) 543-7054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 090000101 CA Primary

Addresses

Primary practice location

8899 University Center LN Ste 160
San Diego, CA 92122-1035

Mailing address

PO Box 34457
San Diego, CA 92163-4457
Phone (619) 543-7060

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2007575Ucsd Occupational Med8899 University Center LN, San Diego, CA 92122Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ucsd Medical Center25 organizations share this tax ID, including this one
Part of
Ucsd Medical Center

Other organizations with this tax ID 24

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

View all 24

Locations

8899 University Center Ln
Ste 160
San Diego, CA 92122
Phone (858) 450-1776

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1891131314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34457",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921634457",
            "telephone_number": "619-543-7060",
            "fax_number": "619-543-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 UNIVERSITY CENTER LN STE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221035",
            "telephone_number": "858-657-1600",
            "fax_number": "858-657-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD OCCUPATIONAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UC SAN DIEGO HEALTH SYSTEM",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "CARRINO",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT II",
        "authorized_official_telephone_number": "619-543-7054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "090000101",
            "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 May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.