NPIMap

Organization Active NPI

University of California San Francisco

Doing business as UCSF Immunogenetics and Transplantation Laboratory

  • Clinical Medical Laboratory
  • San Francisco, CA
National Provider Identifier
1356479984
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 3207 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Doing business as
UCSF Immunogenetics and Transplantation Laboratory
Practice address
45 Castro St
Main Hospital, Level B
San Francisco, CA 94114-1010
Phone
(415) 476-3883
Fax
(415) 476-0379
NPI assigned
Mar 2, 2007
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF CALIFORNIA, SAN FRANCISCOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Victor Corpuz
Title
Director of Operations and Administ
Phone
(415) 476-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 3207 CA Primary

Addresses

Primary practice location

45 Castro St
Main Hospital, Level B
San Francisco, CA 94114-1010

Mailing address

45 Castro St
Main Hospital, Level B
San Francisco, CA 94114-1010
Phone (415) 476-3883

Other names 1

  • UCSF Immunogenetics and Transplantation Laboratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090327000121 CA Part A Provider - Histocompatibility Laboratory 3678547304 Practice locations: San Francisco, CA

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
University of California - San Francisco52 organizations share this tax ID, including this one
Part of
University of California - San Francisco

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

Locations

1100 Van Ness Ave
Ste 800
San Francisco, CA 94109
Phone (415) 476-3883

45 Castro St
#B
San Francisco, CA 94114
Phone (415) 476-3883

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
UCSF Langley Porter Hospital and ClinicsSan Francisco, CA, CCN 054144 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1356479984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "MAIN HOSPITAL, LEVEL B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141010",
            "telephone_number": "415-476-3883",
            "fax_number": "415-476-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "MAIN HOSPITAL, LEVEL B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141010",
            "telephone_number": "415-476-3883",
            "fax_number": "415-476-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA, SAN FRANCISCO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "CORPUZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS AND ADMINIST",
        "authorized_official_telephone_number": "415-476-3883"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Immunogenetics and Transplantation Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.