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UCSD
NPI 1730611864
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since March 29, 2017CLIA 05D1013664 · Waiver
9500 GILMAN DR, MC #9116A, LA JOLLA, CA 92093(858) 534-4040 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ucsd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UCSD (NPI 1730611864) is a healthcare organization registered as a student in an organized health care education/training program in La Jolla, California and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Kristine Thai, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730611864
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameUCSD
Location Address9500 GILMAN DR, MC #9116ALa Jolla, CA 92093-5004
Mailing Address9500 Gilman Dr, Mc #9116aLa Jolla, CA 92093-5004
Phone(858) 534-4040
Organization SubpartNo
Authorized OfficialKristine ThaiAdministrator · (858) 534-4040
Enumeration DateMarch 29, 2017
✔ NPI 1730611864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 GILMAN DR, La Jolla, CA 92093
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1013664

Ucsd Center For Innovative Therapy · La Jolla, CA
Active · expires Jun 12, 2027
CLIA Number05D1013664
Laboratory TypeHospital
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorArthur F. Kavanaugh MD
Laboratory Phone(858) 657-7048
Laboratory LocationUcsd Center For Innovative Therapy9500 Gilman Drive, La Jolla, CA 92093
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 05D0997891

Ucsd Pediatrics Pharmacology Laboratory · La Jolla, CA
Expired · Jul 31, 2026
CLIA Number05D0997891
Laboratory TypeUniversity Medical School
Certificate Effective DateJune 3, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Adriana H. Tremoulet
Laboratory Phone(858) 246-2900
Laboratory LocationUcsd Pediatrics Pharmacology Laboratory9500 Gilman Dr, Mtf Med Training, Bldg Rm 233 Mail Code Mc0808, La Jolla, CA 92093
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEE LE WANG M.D.
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3880
BONNIE SUSAN OMEARA NP
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3300
ELKA RUBIN MD
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-2230
DR. ROBERT J PARMER M.D.
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
San Diego County (858) 552-8585
ANGELA R ACFALLE NP CNS
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
San Diego County (858) 534-2918
BRITNIE PRIEST MAT, ATC, LAT
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
San Diego County (858) 822-6747
CHRISTOPHER MONGLIN LIU
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (571) 721-9812
GLORIA LIN
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 657-8803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ucsd's NPI number?

The NPI number for Ucsd is 1730611864. It was assigned to this organization in the NPPES registry on March 29, 2017.

Where is Ucsd located?

Ucsd is located at 9500 Gilman Dr Mc #9116a, La Jolla, CA 92093. The listed phone number is (858) 534-4040.

What is Ucsd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Does Ucsd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1013664) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ucsd was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.