1740373844 NPI number — UNIVERSITY OF CALIFORNIA SAN FRANCISCO

Table of content: (NPI 1740373844)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740373844 NPI number — UNIVERSITY OF CALIFORNIA SAN FRANCISCO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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:
UCSF HOME HEALTH CARE
Provider Other Organization Name Type Code:
3
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:
1740373844
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3360 GEARY BLVD
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94118-3398
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-353-3100
Provider Business Mailing Address Fax Number:
415-353-3131

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3360 GEARY BLVD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94118-3398
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-353-3100
Provider Business Practice Location Address Fax Number:
415-353-3131
Provider Enumeration Date:
10/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LARET
Authorized Official First Name:
MARK
Authorized Official Middle Name:
ROBERT
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
415-353-2733

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  220000208 , 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)

  • Identifier: ZZR07033H , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZZ06519Z . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7660090 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 057033 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".