Oral Pathology Laboratory UCSF School of Dentistry

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

ORAL PATHOLOGY LABORATORY UCSF SCHOOL OF DENTISTRY

Practice address

513 Parnassus Ave
San Francisco, CA 94143-2205

Phone

(415) 476-4868

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Richard C.K. Jordan, DDSNPI 1710949979

Title

President

Phone

(415) 476-4868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UCSF ORAL PATHOLOGY LABORATORY Doing business as

Locations

Practitioners 2

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

• Richard C.K. Jordan, DDS PHD

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1710949979
  NPD (past) Authorized official
• Darren P Cox, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1942264403
  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": "1258329600000",
    "number": "1336101583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432205",
            "telephone_number": "415-476-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL PATHOLOGY LABORATORY UCSF SCHOOL OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-476-4868",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB41260F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF ORAL PATHOLOGY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Opt Optometric PC
• Optimus Medical Group Inc
• Optum Behavioral Care of California, P.C.
• Andrea Carolina Oquendo, RN
• Danny Orabi, M.D.
• Jennifer Oranje Gentry
• Orasom Health, LLC
• Jose Luis Orbeta
• Arthur Orchanian
• Guadalupe A Ordaz Lopez

• Dental Laboratory in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dental Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.