NPIMap

Organization Active NPI

Regents of the University of California

Doing business as Ucsd Moores Cancer Center

  • Pharmacy
  • La Jolla, CA
National Provider Identifier
1952322935
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHE46932 Issued in CA
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
Ucsd Moores Cancer Center
Practice address
3855 Health Sciences Dr
La Jolla, CA 92093-0845
Phone
(858) 822-6088
Fax
(858) 822-6092
NPI assigned
Jul 22, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 Pharm
Phone
(619) 543-6194

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHE46932 CA Primary
Clinic Pharmacy 3336C0002X PHE46932 CA
Community/Retail Pharmacy 3336C0003X PHE46932 CA

Addresses

Primary practice location

3855 Health Sciences Dr
La Jolla, CA 92093-0845

Mailing address

PO Box 743475
Los Angeles, CA 90074-3475

Other identifiers 2

IdentifierTypeStateIssuer
PHB469320MedicaidCA
5615488OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 2

  • UCSD MOORES CANCER CENTER Doing business as
  • UCSD Medical Center Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930037488 CA DME Supplier - Pharmacy 2769376938 Practice locations: La Jolla, CA
O20130719000452 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2769376938 3 other NPIs on this enrollment
Practice locations: San Diego, CA; La Jolla, CA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

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

Other organizations with this tax ID 24

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

View all 24

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3855 Health Sciences Dr
#845
La Jolla, CA 92093
Phone (858) 822-6088

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Centro Regional Medical CenterEl Centro, CA, CCN 050045 Hospital Operational/Managerial Control (100%) Jan 1, 2016
Ucsd Medical CenterSan Diego, CA, CCN 05S025 Hospital Operational/Managerial Control Jan 1, 2016
Accentcare Home Health at UC San Diego Health LLCSan Diego, CA, CCN 053172 Home health agency 5% Or Greater Direct Ownership Interest (30%) Jul 1, 2015
El Centro Outpatient CenterEl Centro, CA, CCN 058518 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2016
Calexico Outpatient CenterCalexico, CA, CCN 058536 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2016

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1952322935",
    "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": "3855 HEALTH SCIENCES DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930845",
            "telephone_number": "858-822-6088",
            "fax_number": "858-822-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SPANGENBERG",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR UCSD AMCARE PHARM",
        "authorized_official_telephone_number": "619-543-6194"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHE46932",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHE46932",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHE46932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB469320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5615488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD MOORES CANCER CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSD MOORES CANCER CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSD Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.