NPIMap

Organization Active NPI

UCSF Medical Group Business Services

Doing business as UCSF Orthotic and Prosthetic Center - Gateway Medical Building

  • Health Service Clinic/Center
  • San Francisco, CA
National Provider Identifier
1194115246
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
UCSF MEDICAL GROUP BUSINESS SERVICES
Doing business as
UCSF Orthotic and Prosthetic Center - Gateway Medical Building
Practice address
1825 4TH St RM M5304
San Francisco, CA 94158-2350
Phone
(415) 476-1788
Fax
(415) 476-7003
NPI assigned
Jan 28, 2015
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Kosal Bo
Title
Director, Medical Staff
Phone
(415) 885-7268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1825 4TH St RM M5304
San Francisco, CA 94158-2350

Mailing address

1825 4TH St RM M5304
San Francisco, CA 94158-2350
Phone (415) 476-1788

Other names 1

  • UCSF Orthotic and Prosthetic Center - Gateway Medical Building Doing business as

Electronic endpoints 1

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

National Provider Directory

National Provider Directory

Locations

225 California Dr
Fl 3
Burlingame, CA 94010

1825 4th St
#M5304
San Francisco, CA 94143
Phone 4154761788 ext. 0

1825 4th St
Rm M5304
San Francisco, CA 94143
Phone (415) 476-1788

400 Parnassus Ave
#9
San Francisco, CA 94143
Phone (415) 476-1482

400 Parnassus Ave
#A331
San Francisco, CA 94143
Phone (415) 353-2507

400 Parnassus Ave
#A887
San Francisco, CA 94143
Phone (415) 353-2273

521 Parnassus Ave
Rm C36
San Francisco, CA 94143
Phone (415) 476-1788

Practitioners & affiliated clinicians

Practitioners 5,418

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 5,418

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1194115246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 4TH ST RM M5304",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582350",
            "telephone_number": "415-476-1788",
            "fax_number": "415-476-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 4TH ST RM M5304",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582350",
            "telephone_number": "415-476-1788",
            "fax_number": "415-476-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF MEDICAL GROUP BUSINESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BO",
        "authorized_official_first_name": "KOSAL",
        "authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF",
        "authorized_official_telephone_number": "415-885-7268"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UCSF Orthotic and Prosthetic Center - Gateway Medical Building",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2025; 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.