Individual provider Active NPI

Maria Susana Ortiz Urda, M.D

  • Dermatology Physician
  • Stanford, CA
National Provider Identifier
1154574853
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A105136 Issued in CA
Practice address
900 Blake Wilbur Drive
Stanford, CA 94305
Phone
(650) 723-6316
Fax
(650) 723-7796
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A105136 CA Primary

Addresses

Primary practice location

900 Blake Wilbur Drive
Stanford, CA 94305

Mailing address

900 Blake Wilbur Drive
Stanford, CA 94305-5334
Phone (650) 723-6316

Other practice location 1

991 Montague Expy Ste 104
Milpitas, CA 95035-6809
Phone (408) 263-6073

Other practice location 2

3562 Round Barn Cir Ste 320
Santa Rosa, CA 95403-0182
Phone (707) 578-1900

Other practice location 3

603 S Knickerbocker Dr
Sunnyvale, CA 94087-1034
Phone (408) 736-0441

Other practice location 4

525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone (650) 969-5600

Other practice location 5

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100612000085 CA Practitioner - Dermatology 0840320115 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roberta D Sengelmann MD IncGroup PAC ID 9931372133, 6 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

2921 De la Vina St
Santa Barbara, CA 93105-3309
Phone (805) 770-3999

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Merit-based Incentive Payment System (MIPS)

Final score
77.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
25.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1653
Removal or shaving of skin growth1-10
Skin biopsy396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A105136CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jun 15, 2010 Accepting new patients
UCSF Medical Group Business Services Dermatology CurrentSince Jun 15, 2010 Accepting new patients
Csi Medical Group Dermatology CurrentSince Sep 23, 2021 Accepting new patients
Roberta D Sengelmann MD Inc Dermatology CurrentSince Sep 28, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

991 Montague Expy
Ste 104
Milpitas, CA 95035
Phone (408) 263-6073

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1600 Divisadero St
Ste 3
San Francisco, CA 94143

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1600 Divisadero St
San Francisco, CA 94143
Phone (415) 353-7175

1701 Divisadero St
Fl 4
San Francisco, CA 94115
Phone (415) 353-7800

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300

1600 Divisadero St
Fl 3
San Francisco, CA 94143
Phone (415) 353-7171

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

2921 De la Vina St
Santa Barbara, CA 93105
Phone (805) 770-3999

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

2028 Village Ln
Ste 202A
Solvang, CA 93463
Phone (805) 697-7864

603 S Knickerbocker Dr
Sunnyvale, CA 94087
Phone (408) 736-0441

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1154574853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BLAKE WILBUR DRIVE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055334",
            "telephone_number": "650-723-6316",
            "fax_number": "650-723-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BLAKE WILBUR DRIVE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-723-6316",
            "fax_number": "650-723-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 Montague Expy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950356809",
            "country_code": "US",
            "telephone_number": "408-263-6073",
            "fax_number": "408-263-6077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3562 Round Barn Cir Ste 320",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954030182",
            "country_code": "US",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 S Knickerbocker Dr",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940871034",
            "country_code": "US",
            "telephone_number": "408-736-0441",
            "fax_number": "408-736-0722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 South Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404211",
            "country_code": "US",
            "telephone_number": "650-969-5600",
            "fax_number": "650-969-0360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951243907",
            "country_code": "US",
            "telephone_number": "408-369-5600",
            "fax_number": "408-369-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ URDA",
        "first_name": "MARIA",
        "middle_name": "SUSANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A105136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.