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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DENNIS PRICE (DIRECTOR REVENUE CYCLE & OPERATIONS)
(858) 249-6752
Entity
Organization
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
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
—
GPS000030
—
CA
01
—
ZZZ73229Z
BLUE SHIELD
CA
05
—
ZZZP3711Z
—
CA
Enumeration date
09/05/2006
Last updated
09/22/2025
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