UCSF Medical Group Business Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

220000091 Issued in CA

Legal business name

UCSF MEDICAL GROUP BUSINESS SERVICES

Doing business as

UCSF Orthotic and Prosthetic Center at Mission Bay

Practice address

1500 Owens St
Ste 115
San Francisco, CA 94158-2332

Phone

(415) 476-1000

NPI assigned

Jul 22, 2009

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

UCSF MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Kosal Bo

Title

Director, Medical Staff

Phone

(415) 885-7268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UCSF Orthotic and Prosthetic Center at Mission Bay Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• UCSF Medical Group Business Services

  dba The Regents of the University of California San Francisco

  • Prosthetic/Orthotic Supplier
  • Redwood City, CA
  • NPI 1356014971

  3779497870

  Same PAC ID
• UCSF Medical Group Business Services

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1477624104

  3779497870

  Same PAC ID
• UCSF Medical Group Business Services

  dba The Regents of the University of California San Francisco

  • Prosthetic/Orthotic Supplier
  • San Francisco, CA
  • NPI 1760523021

  3779497870

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• UCSF Medical Group Business Services

  dba The Regents of the University of California San Francisco

  • Prosthetic/Orthotic Supplier
  • San Francisco, CA
  • NPI 1760523021

  O20100930062726

  Same enrollment

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

Medicare medical equipment & supply locations

Part of

UCSF Mt Zion HSP Eeg Op

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• University Anesthesia Medical Group

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1528137296

  Member Of

  NPD member
• University of California San Francisco

  dba UCSF Medical Center

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1164512851

  Member Of

  NPD member
• University of California San Francisco

  dba UCSF Pediatrics Group

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1861578973

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Jardena Garner, PA

  • Physician Assistant
  • San Diego, CA
  • NPI 1073561072
  NPD

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1336379494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "STE 1625",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941431821",
            "telephone_number": "415-476-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST",
            "address_2": "STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582332",
            "telephone_number": "415-476-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF MEDICAL GROUP BUSINESS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCSF MEDICAL CENTER",
        "enumeration_date": "2009-07-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BO",
        "authorized_official_first_name": "KOSAL",
        "authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF",
        "authorized_official_telephone_number": "415-885-7268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "220000091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000300",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UCSF Orthotic and Prosthetic Center at Mission Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• UCSF Medical Group Business Services (UCSF Orthotic and Prosthetic Center - Gateway Medical Building)
• UCSF Medical Group Business Services
• UCSF Medical Group Business Services
• UCSF Medical Group Business Services (UCSF Department of Neurosurgery)
• UCSF Medical Group Business Services (UCSF OB GYN Med Grp)
• UCSF Medical Group Business Services (UCSF Neurology Med Grp)
• UCSF Medical Group Business Services
• UCSF Medical Group Business Services
• UCSF Medical Group Business Services
• UCSF Medical Group Business Services (UCSF Neurosurgery Med Grp)

• Durable Medical Equipment & Medical Supplies in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.