Regents of the University of California
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · San Francisco, CA
NPI 1235322348 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1235322348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 220000091 (CA)
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Practice address
- 1600 Divisadero St
San Francisco, CA 94143-0120 - Phone
- (415) 353-9720
- NPI assigned
- Aug 22, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- UCSF MEDICAL CENTER
Authorized official
- Name
- Mr. David Rein
- Title
- Coo
- Phone
- (415) 476-4003
Other NPIs on the same Medicare enrollment 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000389 | CA | Part B Supplier - Clinic/Group Practice | 4284547274 |
Receives reassigned benefits from 2,242 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Francisco, CA |
National Provider Directory
- Part of
- UCSF Department of Pedi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 220000091 | CA | |
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | 220000091 | CA | Yes |
Addresses
Primary practice location
1600 Divisadero St
San Francisco, CA 94143-0120
Mailing address
1635 Divisadero St
Suite 625, Box 1821
San Francisco, CA 94143-0001
Phone (415) 476-4029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0084563 | Medicaid | CA |
Other names
- UCSF Department of Medicine
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
All providers in San Francisco, CA · Endocrinology, Diabetes & Metabolism Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.