UNIVERSITY OF CALIFRONIA, SAN FRANCISCO (NPI# 1265638159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265638159 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFRONIA, SAN FRANCISCO |
| Other Organization Name | DEPARTMENT OF PSYCHIATRY, CHILD AND ADOLESCENT SERVICES |
| Practice Address |
1001 Potrero Ave, Building 5, Suite 6b San Francisco CA 94110 |
| Mailing Address |
Po Box 7464 San Francisco CA 94120-7464 |
| Practice Telephone | 4152064444 |
| Practice Fax Number | 4152063142 |
| Mailing Telephone | 4155020661 |
| Mailing Fax Number | 4154766202 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES) |
| Authorized Official Telephone | 4154768969 |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| Department of Psychiatry, Child and Adolescent Services | Doing Business As Name - Organization |
| Street Address |
1001 POTRERO AVE, BUILDING 5, SUITE 6B |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110 |
| 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 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| 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] |
| 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 |
| 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 |
| 1174729065 | University of California, San Francisco | Clinic/Center | 995 Potrero Ave, Bldg 80, Ward 80, Basement Room 8000 S, San Francisco, CA 94110 | 2007-06-26 |
| 1811072796 | Edgewood Center for Children and Families | Clinic/Center | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-10-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on UNIVERSITY OF CALIFRONIA, SAN FRANCISCO.
| 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.