UCSF CENTER FOR CRANIOFACIAL ANOMALIES (NPI# 1992874960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992874960 |
| Entity Type | Organization |
| Organization Name | UCSF CENTER FOR CRANIOFACIAL ANOMALIES |
| Practice Address |
513 Parnassus Avenue S-747 San Francisco CA 94143-0442 |
| Practice Telephone | 4154762271 |
| Practice Fax Number | 4154769513 |
| Mailing Telephone | 4154762271 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES N BERTOLAMI (DEAN) |
| Authorized Official Telephone | 4154761323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
CA | Allopathic & Osteopathic Physicians | |
| X | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
CA | Allopathic & Osteopathic Physicians | |
| X | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
CA | Dental Providers | |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
CA | Dental Providers | |
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
CA | Dental Providers | |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
CA | Dental Providers | |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
CA | Dental Providers | |
| X | 204E00000X | Oral & Maxillofacial Surgery | CA | Allopathic & Osteopathic Physicians | |
| X | 207N00000X | Dermatology | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER # | GR0040390 | 01 |
| CA | DELTA DENTAL PROVIDER # | 1072 | 01 |
| CA | DENTI-CAL PROVIDER # | G01072-01 | 01 |
| Street Address |
513 PARNASSUS AVENUE S-747 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-0442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1447416771 | Paymon Rahgozar | Surgery | 505 Parnassus Ave # M593, San Francisco, CA 94143-2204 | 2008-08-06 |
| 1760645022 | David Andrew Sieber | Surgery | 450 Sutter St Rm 2630, San Francisco, CA 94108-4205 | 2008-07-08 |
| 1871789826 | Thomas Satterwhite | Surgery | 2299 Post St Ste 207, San Francisco, CA 94115-3473 | 2007-09-23 |
| 1124143797 | James John Romano | Surgery | 1650 Jackson St Ste 101, #101, San Francisco, CA 94109-3059 | 2007-03-20 |
| 1962575563 | Mats Hagstrom | Surgery | 909 Hyde St Ste 210, San Francisco, CA 94109-4845 | 2006-11-15 |
| 1750371571 | Buncke Medical Clinic Inc. | Surgery | 45 Castro St., #121, San Francisco, CA 94114-1010 | 2005-10-24 |
| 1619213428 | Deschamps-braly Clinic of Plastic and Craniofacial Surgery | Surgery | 360 Post St Ste 901, San Francisco, CA 94108-4988 | 2012-12-26 |
| 1841544871 | Corey S. Maas M.d. A Professional Corporation | Surgery | 2400 Clay St, San Francisco, CA 94115-1809 | 2012-10-29 |
| 1336448554 | Carolyn Jane Vaughn | Surgery | 513 Parnassus Ave, Department of Surgery S-321, San Francisco, CA 94143-0470 | 2011-03-28 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
Please comment or provide details below to improve the information on UCSF CENTER FOR CRANIOFACIAL ANOMALIES.
| 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.