Med Staff

Forms

Privileges

Documents

Committees

Services

Medical Staff Administration can assist with the following:

***SITE UNDER CONSTRUCTION***

1. Application for Medical Staff Membership
2. Application for Medical Staff Reappointment
3. Medical Staff Delineation of Privileges
4. Allied Health Professional Application
5. Allied Health Professional Delineation of Privileges
6. Moderate Sedation Privileges
7. To Verify Medical Staff Privileges - Call (619) 543-7874     Fax (619) 543-7850
8. To Verify Residency and Fellowship - Call (619) 543-7242     Fax (619) 543-7850
9. To Verify Faculty Appointments - Call (858) 534-4448

 OTHER HELPFUL LINKS & PHONE NUMBERS

1. Drug Enforcement Agency (DEA) San Diego - (800) 284-1152 

**Fee Exemption for UCSD Medical Center Practitioners ONLY**

• The UCSD Medical Center's Hillcrest address and your Mail Code MUST be used: EXAMPLE -  200 W Arbor Drive, MC 8821, San Diego, CA 92103-8821 
• Certifying Individual, title and phone number: Shirlene Taylor, Director Medical Staff Administration, (619) 543-7838
• PRINT your certificate after completing on-line registration. 

1. Medical Board of California (Medical License) - (916) 263-2382  
2. Osteopathic Board of California - (916) 263-3100
3. Fluoroscopy Permit - Application for California Radiography Supervisor Permit
4. NPI Registry
5. UCSDMC Medical Staff Bylaws, Rules & Regulations & Policies
6. UCSDMC Risk Management - (858) 657-6765 or (619) 543-6430
7. UCSDMC Physicians' Well-Being Committee - Contact Shannon Chavez, MD, Chair - (619) 497-6665 (office) or  (858) 619-1123 (digital pager)
8. UCSDMC TB Screening Office - (619) 543-3229