OrganizationRegents Of The University Of California(<Unavail>)General Acute Care HospitalHospitalsPractice Address200 West Arbor Drive, Mc8937, San Diego, CA 92103-8937(619) 543-6308PECOS EnrollmentBased on the most recent information from CMS, provider Regents Of The University Of California does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1184722779Provider TypeOrganizationFull NameRegents Of The University Of CaliforniaOther Name<Unavail>SubpartNoEnumeration Date9/20/2006Last Updated7/16/2025Contact InformationPractice LocationPractice Address200 West Arbor Drive, Mc8937, San Diego, CA 92103-8937Phone(619) 543-6308FaxUnlisted FaxMailing LocationMailing AddressFile 556631, Los Angeles, CA 90074-5663Phone(619) 543-6308Fax(619) 543-3003Authorized OfficialNameDonaldson, Lori R (Cfo)Phone(619) 543-6060Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicense090000101CaliforniaCode261QR0404XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDHSC30025WDescriptionMedicaidIssuerUnlistedCaliforniaIDZZZA3715ZDescriptionOtherIssuerBLUE SHIELDCaliforniaID0084DescriptionOtherIssuerWISCONSIN PHYSICIAN SVCSCaliforniaID050025DescriptionOtherIssuerBLUE CROSSCaliforniaID126090400DescriptionOtherIssuerDEPARTMENT OF LABORCaliforniaIDZZZA3723ZDescriptionOtherIssuerBLUE SHIELDCalifornia