Organization Active NPI

UCSF Department of Laboratory Medicine

  • Clinical Pathology/Laboratory Medicine Physician
  • San Francisco, CA
National Provider Identifier
1144577131
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
220000091 Issued in CA
Legal business name
UCSF DEPARTMENT OF LABORATORY MEDICINE
Practice address
1600 Divisadero St
San Francisco, CA 94115-3010
Phone
(415) 476-1000
NPI assigned
Aug 8, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
UCSF MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. David Rein
Title
Cfo
Phone
(415) 476-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X 220000091 CA Primary

Addresses

Primary practice location

1600 Divisadero St
San Francisco, CA 94115-3010

Mailing address

1635 Divisadero St
Suite 625
San Francisco, CA 94143-1821
Phone (415) 476-4029

National Provider Directory

National Provider Directory
Tax ID family
UCSF Department of Laboratory Medicine2 organizations share this tax ID, including this one
Part of
UCSF Department of Pedi

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1144577131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 625",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941431821",
            "telephone_number": "415-476-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-476-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF DEPARTMENT OF LABORATORY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCSF MEDICAL CENTER",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "REIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-476-4003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "220000091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.