University of California San Francisco Medical Center

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER

Practice address

400 Parnassus Ave
MCB 300
San Francisco, CA 94143-2202

Phone

(415) 353-7175

Fax

(415) 353-9883

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jed Shivers

Title

Coo

Phone

(415) 476-4003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UCSF Radiation Oncology Doing business as

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366512014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-476-4029",
            "fax_number": "415-476-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE",
            "address_2": "MCB 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-7175",
            "fax_number": "415-353-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIVERS",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-476-4003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008429Q",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center
• University of California San Francisco Medical Center

• All providers in San Francisco, CA
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.