UCSD DEPT OF IM, IM HOSPTIALIST, INFECTIOUS DISEASE – Internal Medicine Physician, NPI 1508968751
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for UCSD DEPT OF IM, IM HOSPTIALIST, INFECTIOUS DISEASE
PO BOX 232410
SAN DIEGO, CA 921932410
Phone:
Type: Mailing
1271 Ross Ave
El Centro, CA 922434304
Phone: (800) 926-8273
Type: Location
1415 Ross Ave
El Centro, CA 922434306
Phone: (800) 926-8273
Type: Location
6200 Greenwich Dr Fl 3
San Diego, CA 921225913
Phone: (858) 657-7000
Type: Location
FILE 57326
LOS ANGELES, CA 900742410
Phone: (800) 926-8273
Type: Mailing
UC San Diego Medical Center, 200, West Arbor Drive, Hillcrest, San Diego, San Diego County, California, 92103, United States
MC-8201 ATTN: PROVIDER ENROLLMENT DEPARTMENT
SAN DIEGO, CA 921038201
Phone: (800) 926-8273
Type: Location
200 W ARBOR DR
SAN DIEGO, CA 921039000
Phone: (800) 926-8273
Fax: (888) 539-8781
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031112000695 | O | Clinic/Group Practice | CA | TBD |
| O20031211000464 | O | Clinic/Group Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92193)
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