UCSF Oral Medicine Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2002 Issued in CA

Legal business name

UCSF ORAL MEDICINE CLINIC

Practice address

513 Parnassus Ave
Suite S-722
San Francisco, CA 94143-2206

Phone

(415) 476-2045

Fax

(415) 514-2862

NPI assigned

Nov 7, 2006

Organization subpart

Yes

Parent organization

REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

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

Authorized official

Name

Dr. Michael Reddy

Title

DDS Dean

Phone

(415) 476-2045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Regents of the University of California

Locations

Practitioners 35

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

• Kamal Al-Eryani Al-Eryani, DDS, PHD

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1356860290
  Medicare reassignment Care Compare group NPD
• Rashmi Mishra, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1053982280
  Medicare reassignment Care Compare group NPD
• John C Robinson, DDS

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1588721229
  Medicare reassignment Care Compare group NPD
• Caroline Helene Shiboski, DDS PHD

  • Dentist
  • San Francisco, CA
  • NPI 1104910827
  Medicare reassignment Care Compare group NPD
• Sivappiriyai Veluppillai, D.D.S., M.S.

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1730268681
  Medicare reassignment Care Compare group NPD
• Ava Jani Wu, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1629162110
  Medicare reassignment Care Compare group
• Brian T. Bast, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Francisco, CA
  • NPI 1689693087
  Medicare reassignment NPD
• Carl Buchanon II, DDS, MPH

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1457920811
  Medicare reassignment NPD
• William Mingeun Choi, DMD

  • Dentist
  • Palo Alto, CA
  • NPI 1720396427
  Medicare reassignment NPD
• Apoena De Aguiar Ribeiro, DDS, MS, PHD

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1427929298
  Medicare reassignment NPD
• Kyle Burke Jones, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1316475213
  Medicare reassignment NPD
• Jungsoo Kim, DDS

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1295466126
  Medicare reassignment NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1376612960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE",
            "address_2": "SUITE S-722, BOX 0422",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-2045",
            "fax_number": "415-514-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE",
            "address_2": "SUITE S-722",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-2045",
            "fax_number": "415-514-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF ORAL MEDICINE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DDS DEAN",
        "authorized_official_telephone_number": "415-476-2045",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• UCSF Medical Group Business Services
• UCSF Medical Group Business Services
• UCSF Medical Group Business Services
• UCSF Medical Group Business Services
• UCSF Oral & Maxillofacial Surgery
• UCSF Oral Surgery CL. #20-3
• UCSF Oral Surgery CL. #20-3
• UCSF Package Pricing Program
• UCSF Pediatric Associates
• UCSF Pediatric Dentistry

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.