Ucsd Medical Group - Medicare in San Diego, CA

Ucsd Medical Group is a medicare enrolled "Ophthalmology" provider in San Diego, California. Their current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to their office (for appointments etc.) via phone at (800) 926-8273.

Ucsd Medical Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ucsd Medical Group is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699877621.

Contact Information

Ucsd Medical Group
200 W Arbor Dr,
San Diego, CA 92103-9000
(800) 926-8273
(888) 539-8781

Map and Direction




Healthcare Provider's Profile

Full NameUcsd Medical Group
TypeFacility
SpecialityOphthalmology
Location200 W Arbor Dr, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699877621
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577476761
  • Enrollment ID: O20040219000974

Medical Identifiers

Medical identifiers for Ucsd Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699877621NPI-NPPES
364823301OtherUS DEPT OF LABOR
364823310OtherUS DEPT OF LABOR
ZZZP3715ZMedicaidCA
2327OtherCACMS
364823302OtherUS DEPT OF LABOR
364823304OtherUS DEPT OF LABOR
364823305OtherUS DEPT OF LABOR
364823307OtherUS DEPT OF LABOR
364823308OtherUS DEPT OF LABOR
CQ4024OtherRAILROAD MEDICARE
GSD000390MedicaidCA
ZZZP3715ZOtherCACALOPTIMA
GSD000390OtherCACALOPTIMA
ZZZP3715ZOtherCABLUE SHIELD
364823300OtherUS DEPT OF LABOR
364823306OtherUS DEPT OF LABOR
CGP016905OtherCAGHPP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WL0500XOptometrist - Low Vision Rehabilitation (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ucsd Medical Group acts as a billing entity for following providers:
Provider NameWeldon W Haw
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1710945357
PECOS PAC ID: 8022903830
Enrollment ID: I20040219000968
Provider NameJessica A Tasto
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790733673
PECOS PAC ID: 7012950827
Enrollment ID: I20050602000833
Provider NameHenry A Ferreyra
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1669497822
PECOS PAC ID: 3779529300
Enrollment ID: I20050705000599
Provider NameBobby S Korn
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1174551006
PECOS PAC ID: 2163468687
Enrollment ID: I20050706000324
Provider NameAnne B Lam
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174550768
PECOS PAC ID: 4082647680
Enrollment ID: I20050914000799
Provider NameDon O Kikkawa
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932202371
PECOS PAC ID: 3375554058
Enrollment ID: I20060509000582
Provider NameThao P Nguyen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154352185
PECOS PAC ID: 0941308316
Enrollment ID: I20070607000758
Provider NameManuel Puig-llano
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1427102979
PECOS PAC ID: 8123197928
Enrollment ID: I20080520000430
Provider NamePeter J Savino
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1467451898
PECOS PAC ID: 7719935626
Enrollment ID: I20081024000659
Provider NameStephen F Oster
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215073689
PECOS PAC ID: 4284793696
Enrollment ID: I20081029000918
Provider NameSang-rog Oh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1659588978
PECOS PAC ID: 8729174248
Enrollment ID: I20090528000136
Provider NameAshkan Pirouz
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1942489356
PECOS PAC ID: 9032260823
Enrollment ID: I20090708000402
Provider NameJeffrey E Lee
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1801943279
PECOS PAC ID: 0446304406
Enrollment ID: I20090811000348
Provider NameStuart Brown
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356376347
PECOS PAC ID: 4385784313
Enrollment ID: I20091222000584
Provider NameChristopher W Heichel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083667307
PECOS PAC ID: 8325162597
Enrollment ID: I20100825000904
Provider NameRobert N Weinreb
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093764177
PECOS PAC ID: 4688798127
Enrollment ID: I20100903000912
Provider NameMichael H Goldbaum
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720157142
PECOS PAC ID: 4587780291
Enrollment ID: I20100929001571
Provider NameDavid B Granet
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1982629036
PECOS PAC ID: 3173715570
Enrollment ID: I20101004000892
Provider NameWilliam R Freeman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518983352
PECOS PAC ID: 6608068721
Enrollment ID: I20101007001148
Provider NameShira L Robbins
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508814914
PECOS PAC ID: 6002008604
Enrollment ID: I20101013001162
Provider NamePamela A Hoo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275566010
PECOS PAC ID: 8022201995
Enrollment ID: I20101023000104
Provider NameLara D Hustana
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235161597
PECOS PAC ID: 4688860539
Enrollment ID: I20101118000338
Provider NameLianne T Mizoguchi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619900313
PECOS PAC ID: 1153517008
Enrollment ID: I20101118000446
Provider NameJohn F Kulischak
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740205236
PECOS PAC ID: 5991993693
Enrollment ID: I20101222000370
Provider NameKirsta L Brummel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003085481
PECOS PAC ID: 9234316506
Enrollment ID: I20110614000593
Provider NameAlex A Huang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1821246141
PECOS PAC ID: 8224293964
Enrollment ID: I20120703000422
Provider NameMinh Vo
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1801021100
PECOS PAC ID: 0840456208
Enrollment ID: I20120730000553
Provider NameNatalie A Afshari
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538126735
PECOS PAC ID: 9335278936
Enrollment ID: I20121107000560
Provider NameJeffrey Goldberg
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417158114
PECOS PAC ID: 9739249210
Enrollment ID: I20130212000442
Provider NameAsmaneh S Yamagata
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1174754022
PECOS PAC ID: 0547401390
Enrollment ID: I20130722000171
Provider NameKweku Grant-acquah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831327626
PECOS PAC ID: 2264667294
Enrollment ID: I20131029002250
Provider NameArash Mozayan Isfahani
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093948176
PECOS PAC ID: 6103053996
Enrollment ID: I20131227000672
Provider NamePaulyne Lux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255763942
PECOS PAC ID: 3476777020
Enrollment ID: I20140620002074
Provider NameJulio C Echegoyen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770801540
PECOS PAC ID: 7012135577
Enrollment ID: I20140825001287
Provider NameEric D Nudleman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154582575
PECOS PAC ID: 9436315389
Enrollment ID: I20140825002466
Provider NameRon Gutmark
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1609189893
PECOS PAC ID: 6305095282
Enrollment ID: I20140827002101
Provider NameLing Y Bei
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164740460
PECOS PAC ID: 4789813361
Enrollment ID: I20140828000101
Provider NameCristiana G Vasile
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891002044
PECOS PAC ID: 9436377512
Enrollment ID: I20140903000669
Provider NameFrank F Tsai
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1043530777
PECOS PAC ID: 0941429104
Enrollment ID: I20140919002381
Provider NameDaniel L Chao
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891011953
PECOS PAC ID: 7618197195
Enrollment ID: I20141003002301
Provider NameEsmeralda C Mcclean
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962817981
PECOS PAC ID: 1850614173
Enrollment ID: I20141219001155
Provider NameMaria Laura G Freeman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528490430
PECOS PAC ID: 9335469188
Enrollment ID: I20150519002615
Provider NameFeilin Zhu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1497045041
PECOS PAC ID: 9830401892
Enrollment ID: I20150702002654
Provider NameHamideh S Moayedpardazi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1386933240
PECOS PAC ID: 1658685078
Enrollment ID: I20150729009435
Provider NameAaron S Wang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790078129
PECOS PAC ID: 9739338427
Enrollment ID: I20150808015949
Provider NameJoseph Ho
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962766451
PECOS PAC ID: 3173839230
Enrollment ID: I20150903001748
Provider NameAudrey C Ko
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891089546
PECOS PAC ID: 2264740661
Enrollment ID: I20151005002773
Provider NameShabnam K Taylor
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1487944062
PECOS PAC ID: 3678882511
Enrollment ID: I20151016000010
Provider NameBenjamin Y Xu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1487910063
PECOS PAC ID: 6305138348
Enrollment ID: I20160712000808
Provider NameKevin Charles Chen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1447518832
PECOS PAC ID: 8123310174
Enrollment ID: I20160712001159
Provider NameAndrew S Camp
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1326300377
PECOS PAC ID: 8123311578
Enrollment ID: I20160722002325
Provider NameMegha Pansara
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1184983728
PECOS PAC ID: 5092000216
Enrollment ID: I20160825002957
Provider NameDerek Stuart Welsbie
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1588869945
PECOS PAC ID: 7214110527
Enrollment ID: I20160831000738
Provider NameHarish Raja
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811251853
PECOS PAC ID: 1850537788
Enrollment ID: I20160915001751
Provider NameAlicia Lau
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629312210
PECOS PAC ID: 1951534593
Enrollment ID: I20161216000927
Provider NameJiun L Do
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578900205
PECOS PAC ID: 9537439989
Enrollment ID: I20170718003704
Provider NameLilangi Ediriwickrema
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1588922801
PECOS PAC ID: 2264702588
Enrollment ID: I20170719003185
Provider NameErica Liu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528402633
PECOS PAC ID: 6204125552
Enrollment ID: I20170720001092
Provider NameDoran B Spencer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1053670810
PECOS PAC ID: 4688981434
Enrollment ID: I20170724002920
Provider NameTyler Arnt Ofstad
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1407199607
PECOS PAC ID: 6103196100
Enrollment ID: I20170725000949
Provider NamePhilip Ngai
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1649614215
PECOS PAC ID: 2466769245
Enrollment ID: I20170725001052
Provider NameElizabeth N Luu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104350651
PECOS PAC ID: 9638440365
Enrollment ID: I20170729000017
Provider NameJanette Elaine Matthess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457694549
PECOS PAC ID: 0648546382
Enrollment ID: I20171024002054
Provider NameAndrew M Vo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790291565
PECOS PAC ID: 9436417300
Enrollment ID: I20171222001159
Provider NameBradley Barnett
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154765139
PECOS PAC ID: 4587888029
Enrollment ID: I20180712002053
Provider NameShagun K Bhatia
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1104237353
PECOS PAC ID: 6002195393
Enrollment ID: I20180723002198
Provider NameBrandon James Wong
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1902224850
PECOS PAC ID: 1456609544
Enrollment ID: I20180806003324
Provider NameSarah N Ahmed
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1477959096
PECOS PAC ID: 9931472818
Enrollment ID: I20180820002140
Provider NameAshlie A Bernhisel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356751572
PECOS PAC ID: 2567760457
Enrollment ID: I20180907002684
Provider NameYunxiang Liu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770849804
PECOS PAC ID: 4486961125
Enrollment ID: I20181004003019
Provider NameCarol Yu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639697451
PECOS PAC ID: 9436415585
Enrollment ID: I20190220001532
Provider NameMansoor Movaghar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1497792220
PECOS PAC ID: 8426050071
Enrollment ID: I20190322001760
Provider NameEric H Chan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1427443316
PECOS PAC ID: 7315272010
Enrollment ID: I20190717003618
Provider NameXiongfei Liu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1497135156
PECOS PAC ID: 1658607585
Enrollment ID: I20190730001952
Provider NameKevin J Garff
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1609258920
PECOS PAC ID: 4880931252
Enrollment ID: I20190730003528
Provider NameDaniel J Ozzello
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073992731
PECOS PAC ID: 6507174208
Enrollment ID: I20190731001088
Provider NameLanning B Kline
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841227477
PECOS PAC ID: 1850285040
Enrollment ID: I20190731002655
Provider NameDarren K Knight
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891181095
PECOS PAC ID: 8224301197
Enrollment ID: I20190802001754
Provider NameJolene C Rudell
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144539305
PECOS PAC ID: 4880962406
Enrollment ID: I20191015001115
Provider NameSasan Moghimi Araghi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1750923108
PECOS PAC ID: 9638509912
Enrollment ID: I20200429001382
Provider NameShyamanga R. Borooah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275165102
PECOS PAC ID: 9638593833
Enrollment ID: I20200721002892
Provider NameYue Zhao
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1851753354
PECOS PAC ID: 5395026637
Enrollment ID: I20200804002314
Provider NameSally Liu Baxter
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1912325184
PECOS PAC ID: 4284926643
Enrollment ID: I20200804002448
Provider NameMichael Ang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578907085
PECOS PAC ID: 0941625172
Enrollment ID: I20200805002802
Provider NameAlex Paul Beazer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1942662168
PECOS PAC ID: 3779874755
Enrollment ID: I20200811000843
Provider NameRyan H Phan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1588027213
PECOS PAC ID: 3072850536
Enrollment ID: I20200828000637
Provider NameAdeleh Yarmohammadi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023542370
PECOS PAC ID: 6103220355
Enrollment ID: I20210810001896
Provider NameNicole Topilow
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215468376
PECOS PAC ID: 6002210168
Enrollment ID: I20210811002218
Provider NameEtienne Schonbach
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073040580
PECOS PAC ID: 9739583774
Enrollment ID: I20210812001387
Provider NameDelu Song
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437689536
PECOS PAC ID: 4183028178
Enrollment ID: I20210812004056
Provider NameSamuel Philip Burke
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740717149
PECOS PAC ID: 2466721063
Enrollment ID: I20210901000300
Provider NameCaitlin Vu-khanh Jomoc
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861164642
PECOS PAC ID: 3375932783
Enrollment ID: I20211104002852
Provider NamePhilip Kim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376929034
PECOS PAC ID: 3072818475
Enrollment ID: I20220221000484
Provider NameChristopher Toomey
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578922092
PECOS PAC ID: 2860814381
Enrollment ID: I20220525002362
Provider NameMan Li Jin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073010120
PECOS PAC ID: 1759623366
Enrollment ID: I20220620001844
Provider NameCatherine Ruth Sheils
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932605649
PECOS PAC ID: 2264788363
Enrollment ID: I20220621001953
Provider NameKamran Rahmatnejad
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699268292
PECOS PAC ID: 6608120514
Enrollment ID: I20220622000958
Provider NameCharity Lee
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841784659
PECOS PAC ID: 9830448281
Enrollment ID: I20220623002047
Provider NameNicole Marie Clements Jody
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932690294
PECOS PAC ID: 2961736665
Enrollment ID: I20220628003907
Provider NameZachary Koretz
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1487157269
PECOS PAC ID: 4587999362
Enrollment ID: I20220729001343
Provider NameNathan L Scott
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1346622586
PECOS PAC ID: 1557679107
Enrollment ID: I20220803003083
Provider NameTracy Moor
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184283277
PECOS PAC ID: 8628447000
Enrollment ID: I20221206002831
Provider NameLauren M Hennein
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699216010
PECOS PAC ID: 5799190450
Enrollment ID: I20230530001449
Provider NameMarissa Katherine Shoji
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1265096929
PECOS PAC ID: 9931435468
Enrollment ID: I20230703000882
Provider NamePaul Lang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083275952
PECOS PAC ID: 1951704188
Enrollment ID: I20230703001351
Provider NameJustin John Arnett
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154988012
PECOS PAC ID: 0345609749
Enrollment ID: I20230703001586
Provider NameKyle Alexander Bolo
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154984417
PECOS PAC ID: 2466858196
Enrollment ID: I20230703002199
Provider NameMalvika Arya
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1659935096
PECOS PAC ID: 3577987833
Enrollment ID: I20230703002739
Provider NameLingling Huang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1902398506
PECOS PAC ID: 4688925449
Enrollment ID: I20230704000027
Provider NameMedi Eslani
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437614310
PECOS PAC ID: 7315306677
Enrollment ID: I20230705000505
Provider NameBao Han Allison Le
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306401096
PECOS PAC ID: 8729319066
Enrollment ID: I20230714000646
Provider NameAliya Cecilia Roginiel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225599913
PECOS PAC ID: 0648506519
Enrollment ID: I20230720003063
Provider NameAmiee Suijuan Ho
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396009478
PECOS PAC ID: 1557509965
Enrollment ID: I20231101003359

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ucsd Medical Group is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ucsd Medical Group
File 57326,
Los Angeles, CA 90074-2410

Ph: (800) 926-8273
Ucsd Medical Group
200 W Arbor Dr,
San Diego, CA 92103-9000

Ph: (800) 926-8273

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.