Golden Gate Urology Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GOLDEN GATE UROLOGY INC

Practice address

1661 Mission St
San Francisco, CA 94103-2413

Phone

(415) 543-2830

Fax

(415) 543-2830

NPI assigned

Jul 1, 2009

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Betancourt

Title

Director of Finance

Phone

(415) 543-2830

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Greg Barme, MD

  • Urology Physician
  • Berkeley, CA
  • NPI 1295700235
  Medicare reassignment Care Compare group NPD
• Robert Q Hoang, M.D.

  • Urology Physician
  • San Francisco, CA
  • NPI 1407932155
  Medicare reassignment Care Compare group NPD
• Wenwu Jin, M.D., PH.D.

  • Urology Physician
  • San Francisco, CA
  • NPI 1003051780
  Medicare reassignment Care Compare group NPD
• David Gregory Kornguth, M.D.

  • Radiation Oncology Physician
  • San Francisco, CA
  • NPI 1801820394
  Medicare reassignment Care Compare group NPD
• CHI Keung Lee, MD

  • Pediatric Urology Physician
  • Berkeley, CA
  • NPI 1194883769
  Medicare reassignment Care Compare group NPD
• Daniel Thomas Oberlin, M.D.

  • Urology Physician
  • Berkeley, CA
  • NPI 1184910044
  Medicare reassignment Care Compare group NPD
• Andrew Pienkny, MD

  • Urology Physician
  • Berkeley, CA
  • NPI 1912085127
  Medicare reassignment Care Compare group NPD
• Rodman S Rogers, M.D.

  • Urology Physician
  • San Francisco, CA
  • NPI 1073617023
  Medicare reassignment Care Compare group NPD
• Ira D Sharlip, M.D.

  • Urology Physician
  • San Francisco, CA
  • NPI 1548362916
  Medicare reassignment Care Compare group NPD
• Allison Sih, M.D.

  • Urology Physician
  • Berkeley, CA
  • NPI 1871955898
  Medicare reassignment Care Compare group NPD
• Yevgeniy Veltman, M.D.

  • Urology Physician
  • San Francisco, CA
  • NPI 1497917579
  Medicare reassignment Care Compare group NPD
• Qingwei Robert Yan, M.D.

  • Urology Physician
  • Oakland, CA
  • NPI 1003995648
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1063640738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 23565",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911853565",
            "telephone_number": "415-543-2830",
            "fax_number": "415-354-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032413",
            "telephone_number": "415-543-2830",
            "fax_number": "415-543-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2186 Geary Blvd Ste 214",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153456",
            "country_code": "US",
            "telephone_number": "415-922-3255",
            "fax_number": "415-922-2527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Telegraph Ave Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093210",
            "country_code": "US",
            "telephone_number": "510-238-1238",
            "fax_number": "510-238-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2999 Regent St Ste 612",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052121",
            "country_code": "US",
            "telephone_number": "510-848-1727",
            "fax_number": "510-848-8224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Sullivan Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152204",
            "country_code": "US",
            "telephone_number": "415-861-0600",
            "fax_number": "415-861-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2186 Geary Blvd Ste 314",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153457",
            "country_code": "US",
            "telephone_number": "415-861-0600",
            "fax_number": "415-861-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2186 Geary Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153456",
            "country_code": "US",
            "telephone_number": "415-357-7031",
            "fax_number": "415-354-3431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 Clay St Ste 505",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941081500",
            "country_code": "US",
            "telephone_number": "415-392-9690",
            "fax_number": "415-392-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN GATE UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "415-543-2830"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063640738",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP8077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Gate Radiology Medical Group, Inc.
• Golden Gate Surgery Center LLC
• Golden Gate Surgicenter LLC (Golden Gate Surgery Center)
• Golden Gate Urgent Care, Inc (Golden Gate Urgent Care)
• Golden Gate Urgent Care, Inc
• Golden Gate Urology Inc
• Golden Gate Urology Inc
• Golden Gate Urology Inc
• Golden Gate Urology, Inc.
• Golden Gateidence Opco, LLC (Victorian Post Acute)

• Urology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.