UNIVERSITY OF CALIFORNIA, SAN FRANCISCO


Address: 995 Potrero Ave, Bldg 80, Ward 80, Basement Room 8000 S, San Francisco, CA 94110
Phone: 4152068386

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (NPI# 1174729065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174729065
Entity Type Organization
Organization Name UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Other Organization Name DEPARTMENT OF PSYCHIATRY, CASARC
Practice Address 995 Potrero Ave
Bldg 80, Ward 80, Basement Room 8000 S
San Francisco
CA 94110
Mailing Address Po Box 7464
San Francisco
CA 94120-7464
Practice Telephone 4152068386
Practice Fax Number 4152066273
Mailing Telephone 4155027648
Mailing Fax Number 4155028175
Enumeration Date 2007-06-26
Last Update Date 2018-05-18
Authorized Official Name GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES)
Authorized Official Telephone 4152068969
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
CA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Department of Psychiatry, CASARC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164765509 University of California, San Francisco Student in an Organized Health Care Education/Training Program Ucsf Anesthesia Residency, 513 Parnassus Ave., S436, San Francisco, CA 94143-0001 2013-04-04
1679823553 University of California, San Francisco Clinical Medical Laboratory 2340 Sutter St, San Francisco, CA 94115-3024 2012-09-18
1083942254 University of California, San Francisco Chronic Disease Hospital 533 Parnassus Ave Rm U585, Box 0748, San Francisco, CA 94143-2208 2009-11-30
1598996225 University of California, San Francisco General Acute Care Hospital 505 Parnassus Ave M691, San Francisco, CA 94131-0110 2009-07-29
1740486315 University of California, San Francisco Clinic/Center 1001 Potrero Ave # 6b, San Francisco, CA 94110-3518 2007-06-21
1336292853 University of California, San Francisco Clinic/Center 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 2007-01-19
1043303241 University of California, San Francisco General Acute Care Hospital 505 Parnassus Avenue, San Francisco, CA 94143-0296 2006-10-02
1477901296 University of California, San Francisco General Acute Care Hospital 521 Parnassus Ave, 522c, Box 0440, San Francisco, CA 94143-2206 2016-06-02
1710231998 University of California, San Francisco Clinical Medical Laboratory 505 Parnassus Ave, Suite M1291 Mailbox 0126, San Francisco, CA 94143-2204 2012-11-09
1730450552 University of California, San Francisco Orthopaedic Surgery 2550 23rd St Bldg 92nd, San Francisco, CA 94110-3504 2012-01-25

Office Location

Street Address 995 POTRERO AVE
BLDG 80, WARD 80, BASEMENT ROOM 8000 S
City SAN FRANCISCO
State CA
Zip Code 94110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902887847 Katerina A Christopoulos Internal Medicine 995 Potrero Ave, Ward 84, San Francisco, CA 94110-2859 2005-11-08
1679112098 Christina Chai Dietitian, Registered 995 Potrero Ave, Bldg 80, Ward 81, San Francisco, CA 94110 2020-01-02
1093208225 Cameo Chanel Taylor Specialist 995 Potrero Ave, San Francisco, CA 94110-2859 2018-06-12
1033608021 Jennifer Quilaquil Siruno Registered Nurse 995 Potrero Ave, San Francisco, CA 94110-2859 2018-05-04
1407353741 Laura Yin Registered Nurse 995 Potrero Ave, Ward 93, San Francisco, CA 94110 2018-04-12
1649704487 Irene Ly Family Medicine 995 Potrero Ave, San Francisco, CA 94110-2859 2017-04-19
1356887723 Annie Lee Registered Nurse 995 Potrero Ave, San Francisco, CA 94110-2859 2017-01-10
1417492547 Ying Hang Zhang Registered Nurse 995 Potrero Ave, Bldg 90 4th Floor, San Francisco, CA 94110-2859 2016-12-28
1669836490 Ashley Moss Community Health Worker 995 Potrero Ave, Bldg 90 5th Floor Rm 503, San Francisco, CA 94110 2016-04-07
1003279019 Yakira Teitel Student in an Organized Health Care Education/Training Program 995 Potrero Ave, Building 80, 1st and 5th Floors, San Francisco, CA 94110-2859 2016-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891302980 Deena Marlo Abramson Doula 1360 Vermont Street, San Francisco, CA 94110 2020-09-23
1740835131 Jacob Matz Orthopaedic Surgery Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 2019-08-03
1427523083 John Pier Shaw Counselor 1550 Treat Street, San Francisco, CA 94110 2018-10-10
1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1639688823 Rashid Belkheiri Community Health Worker 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 2017-09-20
1780107425 Allison Kimberley Tucker Orthopaedic Surgery 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 2017-07-25
1003339300 April May Moyer Student in an Organized Health Care Education/Training Program 1001 Potrero Street 6b, San Francisco, CA 94110 2017-07-19
1154851798 Anthony Jermaine Hatten Specialist 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 2017-06-15
1770012981 Cardiogram, Inc. Physiological Laboratory 375 Alabama St Ste 350, San Francisco, CA 94110 2017-06-09
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679192116 Elemental Health Clinic/Center 230 Central Ave Apt 11, San Francisco, CA 94117-2052 2020-04-14
1134639388 Theresa C. Kira, Psyd, A Psychological Corporation Clinic/Center 870 Market St Ste 800, San Francisco, CA 94102-2903 2017-10-02
1043578198 Healthright 360 Clinic/Center 555 Franklin St, San Francisco, CA 94102-4456 2012-04-26
1295092815 Healthright 360 Clinic/Center 2290 14th Ave, San Francisco, CA 94116-1841 2012-04-20
1265638159 University of Califronia, San Francisco Clinic/Center 1001 Potrero Ave, Building 5, Suite 6b, San Francisco, CA 94110 2007-06-26
1740486315 University of California, San Francisco Clinic/Center 1001 Potrero Ave # 6b, San Francisco, CA 94110-3518 2007-06-21
1760031314 The Healthy Teen Project, Inc. Clinic/Center 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421 2019-09-06
1356749279 Masonic Center for Youth and Families Clinic/Center 6 Funston Ave, San Francisco, CA 94129 2014-12-09
1104198670 St Marys Medical Center Clinic/Center 450 Stanyan St, San Francisco, CA 94117-1019 2012-01-31
1811072796 Edgewood Center for Children and Families Clinic/Center 1801 Vicente St, San Francisco, CA 94116-2923 2006-10-26
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Competitor

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City SAN FRANCISCO
Zip Code 94110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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