1316336415 NPI number — UCSF MEDICAL CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316336415 NPI number — UCSF MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UCSF MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316336415
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/13/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 BROADWAY ST
Provider Second Line Business Mailing Address:
APT # 318
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94115-1581
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-392-8248
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 BROADWAY ST
Provider Second Line Business Practice Location Address:
APARTMENT 318
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94115-1581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-392-8248
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/13/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
O'GORMAN
Authorized Official First Name:
ANNETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
OCCUPATIONAL THERAPY SUPERVISOR
Authorized Official Telephone Number:
415-353-1982

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)