Active NPI
University of California San Francisco Medical Center
- Diagnostic Ultrasound Physician
- San Francisco, CA
National Provider Identifier
1285703256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
- Practice address
- 400 Parnassus Ave
MCB 300
San Francisco, CA 94143-2202 - Phone
- (415) 476-1000
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Jed Shivers
- Title
- Coo
- Phone
- (415) 476-4003
National Provider Directory
National Provider DirectoryLocations
1600 Divisadero St
#C250
San Francisco, CA 94143
Phone (203) 885-7464
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | CA | ||
| Diagnostic Radiology Physician | 2085R0202X | CA | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | CA | ||
| Diagnostic Ultrasound Physician | 2085U0001X | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
400 Parnassus Ave
MCB 300
San Francisco, CA 94143-2202
Mailing address
1635 Divisadero St
Suite 625, Box 1821
San Francisco, CA 94143-0001
Phone (415) 476-4029
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR008429L | Medicaid | CA |
Other names 1
NPPES NPI Registry- UCSF Radiologic Medical Group
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1285703256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 DIVISADERO ST",
"address_2": "SUITE 625, BOX 1821",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430001",
"telephone_number": "415-476-4029",
"fax_number": "415-476-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE",
"address_2": "MCB 300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-476-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SHIVERS",
"authorized_official_first_name": "JED",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "415-476-4003",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR008429L",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UCSF Radiologic Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
- University of California San Francisco Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.