UCSF Dermatopathology Service

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

UCSF DERMATOPATHOLOGY SERVICE

Doing business as

UCSF Dermatopathology Service

Practice address

1701 Divisadero St
Suite 280
San Francisco, CA 94115-3011

Phone

(800) 497-0244

Fax

(415) 353-7553

NPI assigned

Apr 4, 2006

Last updated

Oct 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy H McCalmont, MD

Title

Laboratory Director

Phone

(415) 353-7550

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• UCSF DERMATOPATHOLOGY SERVICE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Richard C.K. Jordan, DDS PHD

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1710949979
  NPD
• Beth Ellen Silverman-Ruben, M.D.

  • Dermatopathology Physician
  • San Francisco, CA
  • NPI 1245295088
  NPD
• Sarina Berger Elmariah, M.D, PH.D

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1962608653
  NPD (past)
• Philip Emanuel Leboit, M.D.

  • Dermatopathology (Pathology) Physician
  • San Francisco, CA
  • NPI 1154385938
  NPD (past)
• Thaddeus Mully, M.D.

  • Dermatopathology (Pathology) Physician
  • San Francisco, CA
  • NPI 1174519607
  NPD (past)
• Laura B Pincus

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1093847782
  NPD (past)
• Jeffrey Paul North, M.D.

  • Dermatology Physician
  • Columbia, MO
  • NPI 1992912968

  Dermatopathology

  NPD (past)
• Iwei Yeh, MD

  • Dermatology Physician
  • Seattle, WA
  • NPI 1780884494
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1235191305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST, STE 280",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "800-497-0244",
            "fax_number": "415-353-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST",
            "address_2": "SUITE 280",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "800-497-0244",
            "fax_number": "415-353-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF DERMATOPATHOLOGY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "MCCALMONT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "415-353-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0074010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF DERMATOPATHOLOGY SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSF DERMATOPATHOLOGY SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• UCSF Department of Pediatrics
• UCSF Department of Pediatrics
• UCSF Department of Surgery
• UCSF Department of Surgery
• UCSF Dept of Surgery
• UCSF Division of Orthodontics
• UCSF Faculty Group & Prosthodontics
• UCSF Faculty Group Dental Practice
• UCSF Faculty GRP Dent Pract & Grad Prosthodontics CL3
• UCSF Genomic Medicine Laboratory

• Dermatopathology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.