REGENTS OF THE UNIVERSITY OF CALIFORNIA
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)

Address: 3636 Gateway Center Ave Ste 102, San Diego, CA 92102-4524

REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1073108809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073108809
Entity Type Organization
Organization Name REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice Address 3636 Gateway Center Ave Ste 102
San Diego
CA 92102-4524
Practice Telephone 8582496455
Practice Fax Number 8587320870
Mailing Address File 556631
Los Angeles
CA 90074-0001
Certification Date 2021-03-03
Enumeration Date 2021-03-03
Last Update Date 2021-03-03
Authorized Official Telephone 6195436060
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
Suppliers

Other Provider/Organization Names

Other Name Type Code
UC Health Milk Bank Doing Business As Name

Office Location

Street Address 3636 GATEWAY CENTER AVE STE 102
City SAN DIEGO
State CA
Zip Code 92102-4524

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1437766698 Daniela Tablas Behavioral Analyst 303 47th St Spc D-22, San Diego, CA 92102 2020-09-30
1194372748 Rosa L Wilson Counselor · Addiction (Substance Use Disorder) 2970 Market Street, San Diego, CA 92102 2019-08-19
1649745712 Juliet Lao Kurek Pharmacist 2121 Imperial Avenue, San Diego, CA 92102 2018-10-04
1851887020 Monique Joseph Counselor · Addiction (Substance Use Disorder) 2410 E. Street, San Diego, CA 92102 2018-07-10
1043718885 Jessica Quinn Counselor · Addiction (Substance Use Disorder) 2410 E St, San Diego, CA 92102 2018-01-26
1184166316 Elise Blanton-Hubbard Counselor · Mental Health 1850 Dale St, San Diego, CA 92102 2016-11-04
1518416007 Kyle Hayes Physical Therapy Assistant 1201 34th Street, San Diego, CA 92102 2016-09-26
1699221416 Kari Judith Medina Student in an Organized Health Care Education/Training Program 1199 34th Street Apt 11, San Diego, CA 92102 2016-08-31
1134508179 Jonathan Waters Military Health Care Provider · Independent Duty Corpsman 1233 22nd Street, Unit 8, San Diego, CA 92102 2015-05-22
1871989913 Abraham Greenberg Pediatrics 15 Balfour Street, Jerusalem, ISRAEL 92102 2015-04-15
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Taxonomy Information

Taxonomy Code 332BP3500X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Parenteral & Enteral Nutrition

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053593137 Pulmocare Respiratory Services, Inc. 9353 Activity Rd, Suite F, San Diego, CA 92126-4412 2007-11-30
1558413724 Lifecare Solutions Inc 3554 Ruffin Rd, Suite 100, San Diego, CA 92123 2007-01-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588258859 9nine Online Store LLC 3325 Longview Dr, Sacramento, CA 95821-7103 2021-02-26
1447851274 Apollo Medical Equipment 16104a Hart St, Van Nuys, CA 91406-3903 2020-11-06
1437766896 Clearfast, Inc · Bevmd, Inc 160 Chesterfield Dr, Ste 101, Cardiff By The Sea, CA 92007-1900 2020-09-29
1366072415 Vitalmed Medical Supplies, LLC 13071 Brookhurst St Ste 160, Garden Grove, CA 92843-1024 2020-01-16
1699335612 Mowell 901 Sunrise, Roseville, CA 95661 2019-06-20
1699262808 Optum Infusion Services 500, Inc. 4900 Rivergrade Rd Ste E120, Irwindale, CA 91706-1419 2018-04-13
1508364282 Capsule Los Angeles LLC · Capsule Pharmacy 8065 W 3rd Street, Los Angeles, CA 90048-4316 2018-01-26
1245773043 Hygeia II Medical Group, Inc. · A Breast Pump and More 1121 W Valley Blvd, Suite I, Tehachapi, CA 93561-2171 2016-11-28
1679920359 Option Care Home Care, Inc. · Option Care 4867 Colt St, Ventura, CA 93003-7731 2016-05-23
1336531276 You Chu Xia 1972 W Holt Ave, Pomona, CA 91768-3305 2015-03-02
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City SAN DIEGO
Zip Code 92102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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