NPIMap

Organization Active NPI

UCSF Medical Group Business Services

Doing business as The Regents of the University of California San Francisco

  • Prosthetic/Orthotic Supplier
  • Redwood City, CA
National Provider Identifier
1356014971
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
UCSF MEDICAL GROUP BUSINESS SERVICES
Doing business as
The Regents of the University of California San Francisco
Practice address
290 Redwood Shores Pkwy
Redwood City, CA 94065-1173
Phone
(415) 476-1788
Fax
(415) 476-7003
NPI assigned
Jul 29, 2021
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Kosal Bo
Title
Vice President
Phone
(415) 353-7235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

290 Redwood Shores Pkwy
Redwood City, CA 94065-1173

Mailing address

PO Box 7813
San Francisco, CA 94120-7813

Other names 1

  • The Regents of the University of California San Francisco Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414002193 CA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3779497870 Practice locations: Redwood City, CA

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
UCSF O&P at Redwood Shores290 Redwood Shores Pkwy, Redwood City, CA 94065-1173(415) 476-1788 Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Continuous Positive Airway Pressure (CPAP) Devices|Diabetic Shoes and Inserts|Di… Accepts assignmentParticipating since Mar 30, 1990

National Provider Directory

National Provider Directory
Tax ID family
UCSF Dept of Ortho Surg15 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member organizations 3

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1356014971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7813",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 REDWOOD SHORES PKWY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651173",
            "telephone_number": "415-476-1788",
            "fax_number": "415-476-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF MEDICAL GROUP BUSINESS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2021-07-29",
        "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": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-353-7235"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "The Regents of the University of California San Francisco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Regents of the University of California San Francisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • 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.