NPIMap

Organization Active NPI

University of Califronia, San Francisco

  • Adolescent and Children Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1265638159
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
UNIVERSITY OF CALIFRONIA, SAN FRANCISCO
Practice address
1001 Potrero Ave, Building 5, Suite 6B
San Francisco, CA 94110
Phone
(415) 206-4444
Fax
(415) 206-3142
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Grace Fernandez
Title
Director, CPG Business Services
Phone
(415) 476-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CA Primary

Addresses

Primary practice location

1001 Potrero Ave, Building 5, Suite 6B
San Francisco, CA 94110

Mailing address

PO Box 7464
San Francisco, CA 94120-7464
Phone (415) 502-0661

Other names 1

  • Department of Psychiatry, Child and Adolescent Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000024 CA Part B Supplier - Clinic/Group Practice 3678547304 Receives reassigned benefits from 120 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
UCSF Diaysis Medical52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1265638159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207464",
            "telephone_number": "415-502-0661",
            "fax_number": "415-476-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE, BUILDING 5, SUITE 6B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-206-4444",
            "fax_number": "415-206-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFRONIA, SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR, CPG BUSINESS SERVICES",
        "authorized_official_telephone_number": "415-476-8969"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Psychiatry, Child and Adolescent Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Department of Psychiatry, Child and Adolescent Services",
            "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 Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.