# REGENTS OF THE UNIVERSITY OF CALIFORNIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699877621
- **Authorized official:** MR. MICHAEL DENNIS PRICE (DIRECTOR, REVENUE CYCLE & OPERATION)
- **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 |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | — |
| 152WP0200X | Pediatric Optometrist | — | NULL | — |
| 152WP0200X | Pediatric Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 04/25/2024