UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP (NPI# 1811475759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811475759 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP |
| Other Organization Name | UCSF SFGH MEDICAL GROUP DEPT OF ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
1001 Potrero Avenue, Bldg 5, Room 1n1 San Francisco CA 94110-3518 |
| Mailing Address |
Po Box 7464 San Francisco CA 94120-7464 |
| Practice Telephone | 4155020661 |
| Practice Fax Number | 4154766206 |
| Mailing Telephone | 4154768969 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MRS. GRACE FERNANDEZ (DIRECTOR) |
| 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 | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| UCSF SFGH MEDICAL GROUP DEPT OF Oral and Maxillofacial Surgery | 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 |
| 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 AVENUE, BLDG 5, ROOM 1N1 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467825786 | Paul J Kim | Dentist | Ucsf Department of Surgery 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2015-11-09 |
| 1851731566 | Mathew Ruggles | Dentist | 2844 California St, San Francisco, CA 94115 | 2013-06-26 |
| 1073871448 | Sampeter Liech Odera | Dentist | Ucsf Oral and Maxillofacial Surgery, 513 Parnassus S738, San Francisco, CA 94143-0001 | 2012-04-24 |
| 1922397645 | Chirag Madhusudan Patel | Dentist | 707 Parnassus Ave, Rm D1201, Ucsf Oral & Facial Surgery Center, San Francisco, CA 94143 | 2011-04-04 |
| 1932235470 | Dennis Song | Dentist | 3109 Geary Blvd, San Francisco, CA 94118-3316 | 2007-02-27 |
| 1386799872 | Michael Dumas | Dentist | 595 Buckingham Way Ste 208, San Francisco, CA 94132-1910 | 2007-01-24 |
| 1386726537 | Michael Edward Barkin | Dentist | 2100 Webster St Ste 325, San Francisco, CA 94115-2378 | 2006-10-19 |
| 1699857904 | William C. Chan | Dentist | 2001 Van Ness Ave Ste 401, San Francisco, CA 94109-3040 | 2006-10-19 |
| 1790884393 | Craig D Mcdow | Dentist | 450 Sutter St Rm 1130, San Francisco, CA 94108-3995 | 2006-09-21 |
| 1689693087 | Brian T. Bast | Dentist | 513 Parnassus Ave Rm S738, San Francisco, CA 94143-2205 | 2006-07-18 |
| 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.