UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP (NPI# 1518932631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518932631 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP |
| Other Organization Name | SFGH MEDICAL GROUP ORTHOPEDIC APPLIANCE FACILITY |
| Practice Address |
2550 23rd St Bldg 9, Suite 119 San Francisco CA 94110-3518 |
| Mailing Address |
Po Box 7464 San Francisco CA 94120-7464 |
| Practice Telephone | 4152064387 |
| Practice Fax Number | 4152064389 |
| Mailing Telephone | 4155143000 |
| Mailing Fax Number | 4155028175 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | GRACE FERNANDEZ (DIRECTOR UCSF SFGH CPG BUSINESS) |
| Authorized Official Telephone | 4152068969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC000280 | 05 |
| Other Name | Type Code |
|---|---|
| SFGH Medical Group Orthopedic Appliance Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1629550660 | University of California Sfgh Medical Group | Family Medicine | 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 | 2018-09-06 |
| 1811475759 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 | 2018-08-02 |
| 1306282975 | University of California Sfgh Medical Group | Surgery | 1001 Potrero Ave, Rm. 3a35, San Francisco, CA 94110-3518 | 2013-05-22 |
| 1093060691 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm G106a, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1730434333 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm 5g8, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1710232319 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm 5h17, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1659626257 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm 5h24, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1356696215 | University of California Sfgh Medical Group | Internal Medicine | 995 Potrero Ave, Bldg.80, Rm 229, San Francisco, CA 94110-2859 | 2012-07-17 |
| 1760790398 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Ave, Rm. 1n1, San Francisco, CA 94110-3518 | 2010-09-16 |
| Street Address |
2550 23RD ST BLDG 9, SUITE 119 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770942203 | Aarti Deshpande | Orthotist | 2550 23rd St, Building 9 Suite 119, San Francisco, CA 94110-3504 | 2016-02-11 |
| 1689033110 | Hanna Dollard | Orthotist | 2550 23rd St, Building 9, Suite 119, San Francisco, CA 94110-3504 | 2016-02-11 |
| 1457729089 | Jeremie Larouche | Orthopaedic Surgery | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110-3504 | 2015-09-14 |
| 1013347590 | Charles Brian Parks | Podiatrist | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110 | 2013-11-19 |
| 1730459041 | Jesse Alan Shantz | Orthopaedic Surgery | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110-3504 | 2012-01-03 |
| 1871872408 | Andrew Crockett Mendelson | Nurse Practitioner | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110-3504 | 2011-08-13 |
| 1891097655 | Monara Dini | Podiatrist | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110-3504 | 2010-11-30 |
| 1164739405 | Gaelen Elizabeth Stevens-nelson | Counselor | 2550 23rd St, Building 9, Room 130, San Francisco, CA 94110-3504 | 2010-09-08 |
| 1073849345 | David William Shearer | Orthopaedic Surgery | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110 | 2009-10-21 |
| 1033444120 | Paul Alexander Toogood | Orthopaedic Surgery | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110-3504 | 2009-10-08 |
| Find all providers in the same location | ||||
| 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 | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346701059 | Nicole Rae Henry | Orthotist | 2550 23rd St Ste 119, San Francisco, CA 94110-3504 | 2019-03-26 |
| 1972064848 | Kenneth Kane | Orthotist | 400 Parnassus Ave Rm A096, San Francisco, CA 94143-2202 | 2019-03-25 |
| 1649730128 | Alex Paul Shimkus | Orthotist | 2550 23rd St Rm 119, San Francisco, CA 94110-3504 | 2019-03-21 |
| 1124587092 | Heidi Adele Truman | Orthotist | 1825 4th St # M5304, San Francisco, CA 94143-2350 | 2019-03-19 |
| 1376002352 | Chrysta Irolla | Orthotist | 1825 4th St Rm M5302, San Francisco, CA 94143-2350 | 2019-03-18 |
| 1154684983 | Ashley Seefeld | Orthotist | 2477 Chestnut St, San Francisco, CA 94123-2505 | 2012-06-18 |
| 1275718371 | Charles Anthony Mcintyre | Orthotist | 4150 Clement St # 121, San Francisco, CA 94121-1545 | 2008-01-08 |
| 1366097487 | Julie Lajoie Nguyen | Orthotist | 1825 4th St # M5304, San Francisco, CA 94143-2350 | 2019-08-06 |
| 1710440409 | Brittney O'neal | Orthotist | 330 Divisadero St, San Francisco, CA 94117-2209 | 2019-04-09 |
| 1265995955 | Michael Plafker | Orthotist | 330 Divisadero St, San Francisco, CA 94117-2209 | 2019-04-09 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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| 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.