UCSF Division of Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

UCSF DIVISION OF ORTHODONTICS

Practice address

707 Parnassus Ave Box 0438
San Francisco, CA 94143-0438

Phone

(415) 502-6707

Fax

(415) 514-0377

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles N Bertolami

Title

Dean School of Dentistry

Phone

(415) 476-1323

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093880353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE BOX 0438",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430438",
            "telephone_number": "415-502-6707",
            "fax_number": "415-514-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE BOX 0438",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430438",
            "telephone_number": "415-502-6707",
            "fax_number": "415-514-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF DIVISION OF ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTOLAMI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DEAN SCHOOL OF DENTISTRY",
        "authorized_official_telephone_number": "415-476-1323",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER #",
            "identifier": "G02003-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PROVIDER #",
            "identifier": "2003",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDRENS SERV",
            "identifier": "CGP166827",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• UCSF Department of Pediatrics
• UCSF Department of Surgery
• UCSF Department of Surgery
• UCSF Dept of Surgery
• UCSF Dermatopathology Service
• UCSF Faculty Group & Prosthodontics
• UCSF Faculty Group Dental Practice
• UCSF Faculty GRP Dent Pract & Grad Prosthodontics CL3
• UCSF Genomic Medicine Laboratory
• UCSF Health

• Orthodontics and Dentofacial Orthopedics Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.