University of California SFGH Medical Group

Organization Active NPI Family Medicine Physician · San Francisco, CA

NPI 1174598296 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1174598296
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Practice address
1001 Potrero Ave
BLDG 80 Ward 83 RM 320
San Francisco, CA 94110-3518
Phone
(628) 206-8610
Fax
(628) 206-8387
NPI assigned
Feb 22, 2006
Organization subpart
No

Authorized official

Name
Juanita Villanueva
Title
Director
Phone
(415) 514-2574

Other NPIs on the same Medicare enrollment 8

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

Corporate family (same tax ID) 42

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

View all 42

Practitioners 138

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

View all 138

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031112000551 CA Part B Supplier - Clinic/Group Practice 5496668410 Receives reassigned benefits from 818 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA; San Franciso, CA

National Provider Directory

Tax ID family
SFGH Medical Group (43 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1001 Potrero Ave
BLDG 80 Ward 83 RM 320
San Francisco, CA 94110-3518

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749
Phone (415) 514-3000

Other identifiers

IdentifierTypeStateIssuer
ZZZP3885ZMedicaidCA

Other names

  • UCSF SFGH Medical Group Dept of Family Practice 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 · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.