MEDICARE: REGENTS OF THE UNIVERSITY OF CALIFORNIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251F00000X	Home Infusion Agency	080000011	CA
2	3336M0002X	Mail Order Pharmacy	PHE37284	CA
3	3336S0011X	Specialty Pharmacy	PHE37284	CA
4	3336H0001X	Home Infusion Therapy Pharmacy	PHE37284	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0549305	OTHER	NABP
2	003738/C230	OTHER	BLUE CROSS OF CA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730273582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENTS OF THE UNIVERSITY OF CALIFORNIA

Provider Business Mailing Address
First Line	:	PO BOX 743475
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-3475
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9610 RIDGEHAVEN CT STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-5603
Country	:	US
Telephone Number	:	619-543-5231
Fax Number	:	619-543-8220

Authorized Official
Title or Position	:	DIRECTOR, AMCARE PHARMACY SERVICES
Name	:	TRACEY SPANGENBERG
Credential	:
Telephone Number	:	858-249-4821

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/24/2025

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Directions to “REGENTS OF THE UNIVERSITY OF CALIFORNIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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