University of California San Francisco

Organization Active NPI Internal Medicine Physician · San Francisco, CA

NPI 1164512851 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1164512851
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
220000091 (CA)
Legal business name
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice address
400 Parnassus Ave
San Francisco, CA 94143-2202
Phone
(415) 476-1000
NPI assigned
Oct 13, 2006
Organization subpart
Yes
Parent organization (as reported)
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER

Authorized official

Name
Kosal Bo
Title
Vice President, Medical Staff Gov
Phone
(415) 353-7235

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Member of 1

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

Practitioners 3,699

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,699

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031212000897 CA Part B Supplier - Clinic/Group Practice 4486567229 Receives reassigned benefits from 5,792 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francsco, CA; San Francisco, CA

National Provider Directory

Part of
UCSF Department of Pedi

Locations

350 Parnassus Ave
San Francisco, CA 94117
Phone (415) 353-2119

2380 Sutter St
San Francisco, CA 94115
Phone (415) 353-2757

5 Thomas Mellon Cir
San Francisco, CA 94134

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207N00000X 220000091 CA
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X 220000091 CA Yes
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X 220000091 CA
Endocrinology, Diabetes & Metabolism Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RE0101X 220000091 CA
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RG0100X 220000091 CA
Hematology (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0000X 220000091 CA
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RI0200X 220000091 CA
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RN0300X 220000091 CA
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X 220000091 CA
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207X00000X 220000091 CA
Clinical Pathology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207ZC0006X 220000091 CA
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X 220000091 CA
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084N0400X 220000091 CA
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X 220000091 CA
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X 220000091 CA

Addresses

Primary practice location

400 Parnassus Ave
San Francisco, CA 94143-2202

Mailing address

2001 The Embarcadero Ste 1500
San Francisco, CA 94143-5200
Phone (415) 885-7268

Other identifiers

IdentifierTypeStateIssuer
GR008429BMedicaidCA

Other names

  • UCSF Medical Center Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Other providers in San Francisco, CA

All providers in San Francisco, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.