# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCSD Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174626618
- **Authorized official:** MR. MIGUE VIGO IV (CHIEF REVENUE CYCLE OFFICER)
- **Authorized official phone:** (918) 809-2411

## Contact information

- **Practice address:** 200 W ARBOR DR, SAN DIEGO, CA 92103-9000
- **Practice address phone:** (800) 926-8273
- **Practice address fax:** (888) 539-8781
- **Mailing address:** FILE 57326, LOS ANGELES, CA 90074-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VE0102X | Reproductive Endocrinology Physician | — | NULL | — |
| 207VE0102X | Reproductive Endocrinology Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 10/28/2024