Regents Of The University Of California | |
200 W Arbor Dr, San Diego, CA 92103-9000 | |
(800) 926-8273 | |
(888) 539-8781 |
Full Name | Regents Of The University Of California |
---|---|
Type | Facility |
Speciality | Orthopaedic Surgery |
Location | 200 W Arbor Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225130677 | NPI | - | NPPES |
364823305 | Other | US DEPT OF LABOR | |
364823306 | Other | US DEPT OF LABOR | |
CQ4024 | Other | RAILROAD MEDICARE | |
ZZZ26554Z | Other | CA | BLUE SHIELD ORTHO GRP |
ZZZP3717Z | Medicaid | CA | |
364823301 | Other | US DEPT OF LABOR | |
364823302 | Other | US DEPT OF LABOR | |
364823308 | Other | US DEPT OF LABOR | |
GNP000060 | Medicaid | CA | |
364823307 | Other | US DEPT OF LABOR | |
GCT000400 | Medicaid | CA | |
2327 | Other | CA | CMS |
GRE000080 | Medicaid | CA | |
CGP016905 | Other | CA | GHPP |
364823300 | Other | US DEPT OF LABOR | |
364823303 | Other | US DEPT OF LABOR | |
364823304 | Other | US DEPT OF LABOR | |
364823310 | Other | US DEPT OF LABOR |
Provider Name | Daniel K Lee |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1518925098 PECOS PAC ID: 7517928872 Enrollment ID: I20041020001241 |
Provider Name | William E Bowman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831276690 PECOS PAC ID: 0749238566 Enrollment ID: I20050215000453 |
Provider Name | Douglas G Chang |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1962450031 PECOS PAC ID: 3870540727 Enrollment ID: I20050404000532 |
Provider Name | Jennifer E Capozzi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336258276 PECOS PAC ID: 1456399534 Enrollment ID: I20050419001392 |
Provider Name | Yu-po Lee |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598780025 PECOS PAC ID: 5496706541 Enrollment ID: I20050630000817 |
Provider Name | Scott T Ball |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952325318 PECOS PAC ID: 6305850884 Enrollment ID: I20060203000588 |
Provider Name | Marc D Chodos |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1811094873 PECOS PAC ID: 0143326827 Enrollment ID: I20070426000631 |
Provider Name | Paul J Girard |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356319891 PECOS PAC ID: 9830298504 Enrollment ID: I20070620000623 |
Provider Name | Joan T Le |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1447460050 PECOS PAC ID: 3274629936 Enrollment ID: I20071011000420 |
Provider Name | Manuel Puig-llano |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427102979 PECOS PAC ID: 8123197928 Enrollment ID: I20080520000430 |
Provider Name | Richard T Allen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1962660175 PECOS PAC ID: 1254499007 Enrollment ID: I20081022000546 |
Provider Name | Bryan T. Leek |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1508040577 PECOS PAC ID: 2365501442 Enrollment ID: I20081104000403 |
Provider Name | Anna A Kulidjian |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1215183066 PECOS PAC ID: 7012079080 Enrollment ID: I20081229000619 |
Provider Name | Eric R Hentzen |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1245411180 PECOS PAC ID: 7315001104 Enrollment ID: I20090122000429 |
Provider Name | Natalie N Voskanian |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376721217 PECOS PAC ID: 8426102310 Enrollment ID: I20090811000676 |
Provider Name | Catherine M Robertson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952565780 PECOS PAC ID: 0648326009 Enrollment ID: I20090926000017 |
Provider Name | Gregory D Middleton |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1104891290 PECOS PAC ID: 6305880774 Enrollment ID: I20100520000900 |
Provider Name | Vinko Zlomislic |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1346351509 PECOS PAC ID: 6406980309 Enrollment ID: I20100813000821 |
Provider Name | Reid Abrams |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1548202245 PECOS PAC ID: 4486778313 Enrollment ID: I20100830000977 |
Provider Name | Robert S Meyer |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316997646 PECOS PAC ID: 4587780952 Enrollment ID: I20100923000633 |
Provider Name | Matthew J Meunier |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1265470553 PECOS PAC ID: 2163548876 Enrollment ID: I20100929001526 |
Provider Name | Steven R Garfin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1679515829 PECOS PAC ID: 6305038522 Enrollment ID: I20101006000920 |
Provider Name | Alexandra K Schwartz |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740206747 PECOS PAC ID: 4486846599 Enrollment ID: I20101007000944 |
Provider Name | Francis B Gonzales |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1841476546 PECOS PAC ID: 8820140148 Enrollment ID: I20101012000368 |
Provider Name | Elizabeth O Stimson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528091931 PECOS PAC ID: 3072707108 Enrollment ID: I20101102000768 |
Provider Name | Jeffrey L Chen |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1811183700 PECOS PAC ID: 3678761418 Enrollment ID: I20101221000868 |
Provider Name | Alan Bao-chan Dang |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376727974 PECOS PAC ID: 1759550486 Enrollment ID: I20110812000626 |
Provider Name | Amelia S Eastman |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1336393990 PECOS PAC ID: 0840458709 Enrollment ID: I20120223000134 |
Provider Name | Susan V Bukata |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1932140639 PECOS PAC ID: 1052385333 Enrollment ID: I20120508000446 |
Provider Name | Megan G Mcclain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063759710 PECOS PAC ID: 4082868591 Enrollment ID: I20130211000324 |
Provider Name | Sonya S Ahmed |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1477757060 PECOS PAC ID: 6002982477 Enrollment ID: I20130607000348 |
Provider Name | Paymaneh Salehian Sabet |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437474442 PECOS PAC ID: 5092956045 Enrollment ID: I20130802000414 |
Provider Name | Nikita Bezrukov |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1770737017 PECOS PAC ID: 0648406678 Enrollment ID: I20131122000706 |
Provider Name | Irina Bilenkaya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801030267 PECOS PAC ID: 3173675931 Enrollment ID: I20140108000593 |
Provider Name | Dana C Covey |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780651794 PECOS PAC ID: 4385867050 Enrollment ID: I20140527001409 |
Provider Name | Andranik V Khatchatrian |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1467447029 PECOS PAC ID: 4385625227 Enrollment ID: I20140708001378 |
Provider Name | Timothy P Craft |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952543423 PECOS PAC ID: 9739307802 Enrollment ID: I20140903000180 |
Provider Name | Richard Y Lin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1205085610 PECOS PAC ID: 6103045794 Enrollment ID: I20140912001477 |
Provider Name | Maureen D Buckley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619377447 PECOS PAC ID: 6002139193 Enrollment ID: I20141222000682 |
Provider Name | Erik M Dworsky |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1942560024 PECOS PAC ID: 9739403932 Enrollment ID: I20150116001223 |
Provider Name | Kenneth C Vitale |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1730176868 PECOS PAC ID: 4082641253 Enrollment ID: I20150417001617 |
Provider Name | Sina Pourtaheri |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1306153572 PECOS PAC ID: 3971720145 Enrollment ID: I20150730013828 |
Provider Name | Michael Lucious Pomerantz |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1356505705 PECOS PAC ID: 3971720749 Enrollment ID: I20160120002245 |
Provider Name | Suzanne J Smith |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1174977870 PECOS PAC ID: 9830480037 Enrollment ID: I20160621002705 |
Provider Name | William Toshio Kent |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1962794198 PECOS PAC ID: 4082906151 Enrollment ID: I20161012001754 |
Provider Name | Krishna Ravi Cidambi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1275836959 PECOS PAC ID: 4587942834 Enrollment ID: I20161020002352 |
Provider Name | Mohan S Tripathi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1194080168 PECOS PAC ID: 7416229844 Enrollment ID: I20170821001126 |
Provider Name | Sandeep Ranjit Pandit |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982800215 PECOS PAC ID: 3375817083 Enrollment ID: I20170919003299 |
Provider Name | Christopher N Bui |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1619231537 PECOS PAC ID: 3173832268 Enrollment ID: I20180801002674 |
Provider Name | Jon R Shereck |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316931702 PECOS PAC ID: 7719913185 Enrollment ID: I20180824002791 |
Provider Name | James Henry Flint |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1629239140 PECOS PAC ID: 6709068505 Enrollment ID: I20181012002477 |
Provider Name | Teja Karukonda |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1811308489 PECOS PAC ID: 8527388578 Enrollment ID: I20190823000987 |
Provider Name | Jacob H Fennessy |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972923704 PECOS PAC ID: 9830427772 Enrollment ID: I20190829003610 |
Provider Name | Tyler Scott Green |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1629412937 PECOS PAC ID: 0446581516 Enrollment ID: I20191004000869 |
Provider Name | Frank Chiarappa |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1932536828 PECOS PAC ID: 4284983594 Enrollment ID: I20191111001006 |
Provider Name | Haewon Lee |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1447661657 PECOS PAC ID: 6507112562 Enrollment ID: I20191111001128 |
Provider Name | Joseph G Elsissy |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1922495712 PECOS PAC ID: 8224469150 Enrollment ID: I20200511000058 |
Provider Name | Melissa Garth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689232977 PECOS PAC ID: 3375871684 Enrollment ID: I20200520002314 |
Provider Name | Andrew P Hurvitz |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1083842371 PECOS PAC ID: 3072935626 Enrollment ID: I20200626002375 |
Provider Name | John Da Vinci Attenello |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1629456553 PECOS PAC ID: 9638594005 Enrollment ID: I20200731001813 |
Provider Name | Preetpaul Bagi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1114306347 PECOS PAC ID: 2264744978 Enrollment ID: I20200731002021 |
Provider Name | Joseph Mitchell |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699161471 PECOS PAC ID: 0840593554 Enrollment ID: I20200804000891 |
Provider Name | Ian Michael Foran |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861830366 PECOS PAC ID: 1052645488 Enrollment ID: I20201110000437 |
Provider Name | Micah Blais |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972867562 PECOS PAC ID: 4183879885 Enrollment ID: I20210615001112 |
Provider Name | Kalpit N. Shah |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1326450040 PECOS PAC ID: 6002033560 Enrollment ID: I20210728001563 |
Provider Name | Jihoon Choi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1285097741 PECOS PAC ID: 8820380736 Enrollment ID: I20210831001336 |
Provider Name | Ryan Lewis Anderson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184049140 PECOS PAC ID: 7618373580 Enrollment ID: I20210901002700 |
Provider Name | Eric Tzeng |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1801258264 PECOS PAC ID: 6204232077 Enrollment ID: I20210901003537 |
Provider Name | Yannick L Goeb |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1730542747 PECOS PAC ID: 9234492778 Enrollment ID: I20210907000613 |
Provider Name | Samuel Kenneth Stephenson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1578058665 PECOS PAC ID: 0648676981 Enrollment ID: I20210910002314 |
Provider Name | Thomas Barrett Sullivan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1437565488 PECOS PAC ID: 7315364981 Enrollment ID: I20210927002159 |
Provider Name | Michael P Kelly |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1508997420 PECOS PAC ID: 9234308537 Enrollment ID: I20211014001328 |
Provider Name | Elizabeth T Donoghue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427710979 PECOS PAC ID: 8628466638 Enrollment ID: I20211025001705 |
Provider Name | Parker B Goodell |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1760843098 PECOS PAC ID: 8224410519 Enrollment ID: I20220803001558 |
Provider Name | Janel Pietryga |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1518498625 PECOS PAC ID: 5890066120 Enrollment ID: I20220805002835 |
Provider Name | Benjamin Wheatley |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1053759233 PECOS PAC ID: 4385875111 Enrollment ID: I20230131001240 |
Provider Name | Michael W Chung |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1275094120 PECOS PAC ID: 0547661613 Enrollment ID: I20230612002132 |
Provider Name | Megan Couso |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1265922546 PECOS PAC ID: 7416208285 Enrollment ID: I20230714003048 |
Provider Name | Ameer Malik Elbuluk |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689178808 PECOS PAC ID: 8628322112 Enrollment ID: I20230720002497 |
Provider Name | Ryan Patrick Mclynn |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033615323 PECOS PAC ID: 1759631773 Enrollment ID: I20230720002844 |
Provider Name | Matthew Joseph Michel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1992202956 PECOS PAC ID: 8628439569 Enrollment ID: I20230725003134 |
Provider Name | Ryan William Beasley O Leary |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1053848978 PECOS PAC ID: 3072993740 Enrollment ID: I20230824002977 |
Provider Name | David Ryan Bakal |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1023513983 PECOS PAC ID: 3274920061 Enrollment ID: I20230911001617 |
Provider Name | Christopher Dijanic |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1295396281 PECOS PAC ID: 0941746630 Enrollment ID: I20240718000004 |
Provider Name | Lauren Nicole Bockhorn |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1902369366 PECOS PAC ID: 7315483088 Enrollment ID: I20240718002850 |
Provider Name | Soudabeh Sedghi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1619438199 PECOS PAC ID: 4486190071 Enrollment ID: I20240718004364 |
Provider Name | Braden J Passias |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1144783028 PECOS PAC ID: 4587992391 Enrollment ID: I20240718004455 |
Provider Name | Jose George |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1528528668 PECOS PAC ID: 2062958697 Enrollment ID: I20240719000737 |
Provider Name | Alejandro Cortes |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972066785 PECOS PAC ID: 4688110141 Enrollment ID: I20240722001149 |
Provider Name | Kathryn Danielle Dwight |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1548797103 PECOS PAC ID: 5890156376 Enrollment ID: I20240916001609 |
Provider Name | Shelby Wilcox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083163380 PECOS PAC ID: 8325320450 Enrollment ID: I20250205001956 |
Mailing Address | Practice Location Address |
---|---|
Regents Of The University Of California File 57326, Los Angeles, CA 90074-2410 Ph: (800) 926-8273 | Regents Of The University Of California 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |