# 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:** 1225130677
- **Authorized official:** MR. MICHAEL DENNIS PRICE (DIRECTOR REVENUE CYCLE & OPERATIONS)
- **Authorized official phone:** (858) 249-6752

## 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
- **Mailing address phone:** (800) 926-8273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 04/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2327 | CMS | CA |
| 01 | — | 364823300 | US DEPT OF LABOR | — |
| 01 | — | 364823301 | US DEPT OF LABOR | — |
| 01 | — | 364823302 | US DEPT OF LABOR | — |
| 01 | — | 364823303 | US DEPT OF LABOR | — |
| 01 | — | 364823304 | US DEPT OF LABOR | — |
| 01 | — | 364823305 | US DEPT OF LABOR | — |
| 01 | — | 364823306 | US DEPT OF LABOR | — |
| 01 | — | 364823307 | US DEPT OF LABOR | — |
| 01 | — | 364823308 | US DEPT OF LABOR | — |
| 01 | — | 364823310 | US DEPT OF LABOR | — |
| 01 | — | CGP016905 | GHPP | CA |
| 01 | — | CQ4024 | RAILROAD MEDICARE | — |
| 05 | — | GCT000400 | — | CA |
| 05 | — | GNP000060 | — | CA |
| 05 | — | GRE000080 | — | CA |
| 01 | — | ZZZ26554Z | BLUE SHIELD ORTHO GRP | CA |
| 05 | — | ZZZP3717Z | — | CA |