| Ucsd Dept Of Neurophysiology | |
|
200 W Arbor Dr San Diego CA 92103-9000 | |
| (800) 926-8273 | |
| (888) 539-8781 |
| Full Name | Ucsd Dept Of Neurophysiology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 W Arbor Dr, San Diego, California |
| Authorized Official Name and Position | Michael Dennis Price (DIRECTOR, REVENUE CYCLE & OPERATION) |
| Authorized Official Contact | 8582496752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsd Dept Of Neurophysiology Po Box 232410 San Diego CA 92193-2410 Ph: () - | Ucsd Dept Of Neurophysiology 200 W Arbor Dr San Diego CA 92103-9000 Ph: (800) 926-8273 |
| NPI Number | 1881796811 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 3577476761 |
|---|---|
| Medicare Enrollment ID | O20031204001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881796811 | NPI | - | NPPES |
| 364823303 | Other | US DEPT OF LABOR | |
| 364823300 | Other | US DEPT OF LABOR | |
| 364823302 | Other | US DEPT OF LABOR | |
| 364823308 | Other | US DEPT OF LABOR | |
| 364823306 | Other | US DEPT OF LABOR | |
| 364823310 | Other | US DEPT OF LABOR | |
| 2327 | Other | CA | CMS |
| 364823301 | Other | US DEPT OF LABOR | |
| 364823307 | Other | US DEPT OF LABOR | |
| CGP016905 | Other | GHPP | |
| GR0013561 | Medicaid | CA | |
| ZZZ26233Z | Other | CA | BLUE SHIELD |
| 364823304 | Other | US DEPT OF LABOR | |
| 364823305 | Other | US DEPT OF LABOR | |
| CQ4024 | Other | RAILROAD MEDICARE |
| Provider Name | Patrick A Delaney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699741645 PECOS PAC ID: 7517987225 Enrollment ID: I20051123000679 |
| Provider Name | Joseph D Ciacci |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992725675 PECOS PAC ID: 8123000593 Enrollment ID: I20080213000244 |
| Provider Name | Judd M Laraway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154505402 PECOS PAC ID: 8729144092 Enrollment ID: I20090311000709 |
| Provider Name | Howard Tung |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538153341 PECOS PAC ID: 8820150428 Enrollment ID: I20090815000082 |
| Provider Name | Kristy Rose Broderick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487801817 PECOS PAC ID: 2668504499 Enrollment ID: I20100714000760 |
| Provider Name | Vincente Iragui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053326710 PECOS PAC ID: 0547385031 Enrollment ID: I20100921001150 |
| Provider Name | Evelyn S Tecoma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174556518 PECOS PAC ID: 2668598905 Enrollment ID: I20100924000012 |
| Provider Name | Hoi S U |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164468146 PECOS PAC ID: 7810182011 Enrollment ID: I20101113000110 |
| Provider Name | William R Taylor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528084522 PECOS PAC ID: 4587859632 Enrollment ID: I20101115000645 |
| Provider Name | David Barba |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093730251 PECOS PAC ID: 6103012661 Enrollment ID: I20101123000290 |
| Provider Name | Hoai-huong K Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194035501 PECOS PAC ID: 2062609209 Enrollment ID: I20101214000390 |
| Provider Name | Paul D Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588893788 PECOS PAC ID: 0941498679 Enrollment ID: I20101222000698 |
| Provider Name | Homira Feely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972839975 PECOS PAC ID: 9133258379 Enrollment ID: I20110321000771 |
| Provider Name | Andrew Nguyen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720216542 PECOS PAC ID: 2567647555 Enrollment ID: I20110509000119 |
| Provider Name | Marc Stuart Schwartz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508960188 PECOS PAC ID: 2466630116 Enrollment ID: I20110628000282 |
| Provider Name | Arash A Khalessi-hosseini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073786661 PECOS PAC ID: 8820269053 Enrollment ID: I20110920000784 |
| Provider Name | Lawrence F Marshall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750306171 PECOS PAC ID: 8628121936 Enrollment ID: I20120426000138 |
| Provider Name | Arnett Iii Klugh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588852610 PECOS PAC ID: 9739324443 Enrollment ID: I20130401000184 |
| Provider Name | Justin A Dye |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629212535 PECOS PAC ID: 9335387000 Enrollment ID: I20130608000064 |
| Provider Name | Sunil Partab Jeswani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023359494 PECOS PAC ID: 7315160306 Enrollment ID: I20140520001395 |
| Provider Name | Jeffrey S Pannell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346426996 PECOS PAC ID: 3870808835 Enrollment ID: I20150819009196 |
| Provider Name | Vivek Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649505009 PECOS PAC ID: 6002116944 Enrollment ID: I20151130000568 |
| Provider Name | Sharona Ben-haim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942469663 PECOS PAC ID: 2062726961 Enrollment ID: I20160630000258 |
| Provider Name | Jeremy Joseph Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447586144 PECOS PAC ID: 9032308655 Enrollment ID: I20161213000922 |
| Provider Name | Keri Anne O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164959433 PECOS PAC ID: 9335419019 Enrollment ID: I20170728000942 |
| Provider Name | Maureen A Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205364361 PECOS PAC ID: 2961773668 Enrollment ID: I20170728002310 |
| Provider Name | Dustin Hatefi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790072106 PECOS PAC ID: 7416211610 Enrollment ID: I20180515001622 |
| Provider Name | Angela Viers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295939098 PECOS PAC ID: 8325271711 Enrollment ID: I20180912001390 |
| Provider Name | Martin Huy Pham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609130921 PECOS PAC ID: 9931473089 Enrollment ID: I20181010001492 |
| Provider Name | Shawn A Belverud |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073817268 PECOS PAC ID: 4183906456 Enrollment ID: I20181203001533 |
| Provider Name | Jeffrey Michael Tomlin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366530321 PECOS PAC ID: 0648332247 Enrollment ID: I20190426000228 |
| Provider Name | Thomas L Beaumont |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497067573 PECOS PAC ID: 8426287046 Enrollment ID: I20190509001786 |
| Provider Name | Joseph Anthony Osorio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437416591 PECOS PAC ID: 1254687734 Enrollment ID: I20190906002784 |
| Provider Name | Donald Blaskiewicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215176839 PECOS PAC ID: 4587709274 Enrollment ID: I20200706002308 |
| Provider Name | Jeffrey A Steinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982044715 PECOS PAC ID: 4981028446 Enrollment ID: I20200717000264 |
| Provider Name | David R Santiago-dieppa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083984983 PECOS PAC ID: 6305260225 Enrollment ID: I20200723002761 |
| Provider Name | Christa Elaine Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396371431 PECOS PAC ID: 5799196531 Enrollment ID: I20201130000670 |
| Provider Name | Natalie Bilotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144809393 PECOS PAC ID: 3476950106 Enrollment ID: I20210923001097 |
| Provider Name | Nikhil Murthy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710371273 PECOS PAC ID: 3173822368 Enrollment ID: I20220723000296 |
| Provider Name | Sarah Jane Rios De Dios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528632742 PECOS PAC ID: 4082097951 Enrollment ID: I20220810003368 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
The Center For Behavior Change, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7676 Hazard Center Dr Ste 500, San Diego, CA 92108 Phone: 619-876-8261 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
Alba Community School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Adapt Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |