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UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER
NPI 1952449050
Community/Behavioral Health in San Diego, CA

Active since February 01, 2007CLIA 05D2134900 · Waiver
4510 EXECUTIVE DR, #315, SAN DIEGO, CA 92121(858) 534-8019(858) 534-6727 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ucsd Eating Disorder Treatment And Research Center NPPES

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

UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER (NPI 1952449050) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Cheryl Sweet, Revenue Manager, as its authorized official.

NPPES Registry Identity

NPI1952449050
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameUCSD EATING DISORDER TREATMENT AND RESEARCH CENTER
Location Address4510 EXECUTIVE DR, #315San Diego, CA 92121-3021
Mailing Address4510 Executive Dr, #315San Diego, CA 92121-3021 · (858) 534-8019 · Fax (858) 534-6727
Phone(858) 534-8019
Fax(858) 534-6727
Organization SubpartNo
Authorized OfficialCheryl SweetRevenue Manager · (858) 534-2358
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMarch 12, 2013
✔ NPI 1952449050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4510 EXECUTIVE DR, San Diego, CA 92121
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CLIA Laboratory Certificates CMS CLIA

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 05D2134900

Ucsd Eating Disorders For Treatment And Research · San Diego, CA
Active · expires Aug 9, 2027
CLIA Number05D2134900
Laboratory TypeClinic
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorMary Ellen Trunko
Laboratory Phone(858) 657-5706
Laboratory LocationUcsd Eating Disorders For Treatment And Research4510 Executive Dr Ste 315, San Diego, CA 92121
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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. TODD BENJAMIN PLUTCHOK D.C.
Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888
KHRIZNA CHONG MSN, RN, CNS
Clinical Nurse Specialist (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-7729
MS. SHARON ESTERS-THAMES RN
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 450-5000
MISS KERI ANNE O'CONNOR NP
Nurse Practitioner (Family)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-5085
DAVID A LEPAY M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121
San Diego County (858) 550-3850
LISA GUERTIN NP
Nurse Practitioner (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
MANISH V SHETH MD
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121
San Diego County (858) 427-5060
DR. CHAD MICHAEL WELLS D.C.
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888

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 Eating Disorder Treatment And Research Center's NPI number?

The NPI number for Ucsd Eating Disorder Treatment And Research Center is 1952449050. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Ucsd Eating Disorder Treatment And Research Center located?

Ucsd Eating Disorder Treatment And Research Center is located at 4510 Executive Dr #315, San Diego, CA 92121. The listed phone number is (858) 534-8019.

What is Ucsd Eating Disorder Treatment And Research Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Ucsd Eating Disorder Treatment And Research Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2134900) is associated with this NPI, valid through August 9, 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 Eating Disorder Treatment And Research Center was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.