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University of California SFGH Medical Group

Organization Active NPI Anesthesiology Physician · San Francisco, CA

NPI 1366417420 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1366417420
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Practice address
1001 Potrero Ave
RM 3C34
San Francisco, CA 94110-3518
Phone
(628) 206-8934
Fax
(628) 206-3101
NPI assigned
Feb 22, 2006
Organization subpart
No

Authorized official

Name
Juanita Villanueva
Title
Provider Enrollment
Phone
(415) 514-2574

Other NPIs on the same Medicare enrollment 8

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

Other NPIs with the same Medicare PAC ID 13

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

Corporate family (same tax ID) 42

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

View all 42

Practitioners 1,170

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

View all 1,170

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031112000551 CA Part B Supplier - Clinic/Group Practice 5496668410 Receives reassigned benefits from 818 practitioners
8 other NPIs on this enrollment
Practice locations: San Francisco, CA; San Franciso, CA

National Provider Directory

Tax ID family
SFGH Medical Group (43 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207L00000X Yes

Addresses

Primary practice location

1001 Potrero Ave
RM 3C34
San Francisco, CA 94110-3518

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749
Phone (415) 514-3000

Other identifiers

IdentifierTypeStateIssuer
GR0062250MedicaidCA

Other names

  • UCSF SFGH Medical Group Dept of Anesthesia Doing business as

Electronic endpoints

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

Other providers in San Francisco, CA

All providers in San Francisco, CA · Anesthesiology Physician in California

Sources for this page

Verify at the official NPI Registry.