NPIMap

Organization Active NPI

UCSF Health Community Hospitals

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1013051945
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45791 Issued in CA
Legal business name
UCSF HEALTH COMMUNITY HOSPITALS
Practice address
2235 Hayes St
San Francisco, CA 94117-1012
Phone
(415) 688-1000
NPI assigned
Feb 16, 2007
Organization subpart
Yes
Parent organization
UCSF HEALTH COMMUNITY HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fernando S. Moreno
Title
Cfo/Director
Phone
(415) 514-6618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY45791 CA Primary

Addresses

Primary practice location

2235 Hayes St
San Francisco, CA 94117-1012

Mailing address

PO Box 885904
Los Angeles, CA 90088-5904
Phone (415) 353-4739

Other identifiers 5

IdentifierTypeStateIssuer
PHA457910MedicaidCA
721561126OtherIRS - SP TAX ID
PHB457900MedicaidCA
0545357OtherNCPCP - RETAIL PHARMACY
0545369OtherNCPDP - IP PHARMACY

Other names 1

  • UCSF Health - St. Mary's Hospital Clinic Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260414001182 CA DME Supplier - Pharmacy 1850295171 Practice locations: San Francisco, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
UCSF Health Community Hospitals2235 Hayes St, San Francisco, CA 94117-1012(415) 750-4878 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
St Francis HSP Esophageal8 organizations share this tax ID, including this one
Part of
St Francis HSP Esophageal

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
UCSF Health - St. Mary'S HospitalSan Francisco, CA, CCN 050457 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1013051945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885904",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900885904",
            "telephone_number": "415-353-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171012",
            "telephone_number": "415-688-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF HEALTH COMMUNITY HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCSF HEALTH COMMUNITY HOSPITALS",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO/DIRECTOR",
        "authorized_official_telephone_number": "415-514-6618"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA457910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS - SP TAX ID",
            "identifier": "721561126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB457900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPCP - RETAIL PHARMACY",
            "identifier": "0545357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP - IP PHARMACY",
            "identifier": "0545369",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Health - St. Mary's Hospital Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.