UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP (NPI# 1710457510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710457510 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP |
| Practice Address |
1001 Potrero Ave Rm 2m14 San Francisco CA 94110-3518 |
| Mailing Address |
Po Box 7464 San Francisco CA 94120-7464 |
| Practice Telephone | 4152068588 |
| Mailing Telephone | 4155020661 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES) |
| Authorized Official Telephone | 4154768969 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Department of Pathology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1518932631 | University of California Sfgh Medical Group | Prosthetist | 2550 23rd St, Bldg 9, Suite 119, San Francisco, CA 94110-3518 | 2006-02-22 |
| 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 |
1001 POTRERO AVE RM 2M14 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| 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 | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477625887 | California Pacific Pathology Medical Group | Pathology | Castro Duboce St, San Francisco, CA 94114 | 2006-11-14 |
| 1710909940 | Steven Andrew Miller | Pathology | 185 Berry St Ste 290, Box 0100, San Francisco, CA 94107-1773 | 2006-07-24 |
| 1124426572 | Michael Paul Busch | Pathology | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2014-12-17 |
| 1144577131 | Ucsf Department of Laboratory Medicine | Pathology | 1600 Divisadero St, San Francisco, CA 94115-3010 | 2012-08-08 |
| 1780931774 | Ucsf Department of Laboratory Medicine | Pathology | 185 Berry St, San Francisco, CA 94107-5705 | 2012-08-08 |
| 1558696039 | Anne Deucher | Pathology | 505 Parnassus Ave, Box 0100, San Francisco, CA 94143-2204 | 2009-10-16 |
| 1104151984 | Ari Benjamin Molofsky | Pathology | 505 Parnassus Ave, M524, Box 100, San Francisco, CA 94143-2204 | 2009-10-12 |
| 1396928040 | David Park | Pathology | 505 Parnassus Ave, Dept of Pathology, M-580, San Francisco, CA 94143-2204 | 2007-12-17 |
| 1508080748 | Regents of The University of California | Pathology | 95 Kirkham St, San Francisco, CA 94122 | 2007-04-12 |
| 1588712285 | Ucsf Department of Laboratory Medicine | Pathology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2007-01-08 |
| 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 CALIFORNIA SFGH MEDICAL GROUP.
| 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.