Organization Active NPI

UCSF Pediatrics Associates

Doing business as UCSF Medical Center

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1376614016
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
220000091 Issued in CA
Legal business name
UCSF PEDIATRICS ASSOCIATES
Doing business as
UCSF Medical Center
Practice address
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone
(415) 353-2000
Fax
(415) 353-2680
NPI assigned
Nov 13, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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, Medical Staff Gov
Phone
(415) 353-7235

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 220000091 CA
Infectious Disease Physician 207RI0200X 220000091 CA
Clinical Genetics (M.D.) Physician 207SG0201X 220000091 CA
Pediatrics Physician 208000000X 220000091 CA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 220000091 CA
Pediatric Allergy/Immunology Physician 2080P0201X 220000091 CA
Pediatric Cardiology Physician 2080P0202X 220000091 CA
Pediatric Critical Care Medicine Physician 2080P0203X 220000091 CA
Pediatric Endocrinology Physician 2080P0205X 220000091 CA
Pediatric Gastroenterology Physician 2080P0206X 220000091 CA
Pediatric Infectious Diseases Physician 2080P0208X 220000091 CA
Pediatric Nephrology Physician 2080P0210X 220000091 CA
Pediatric Pulmonology Physician 2080P0214X 220000091 CA
Pediatric Rheumatology Physician 2080P0216X 220000091 CA
Child & Adolescent Psychiatry Physician 2084P0804X 220000091 CA

Addresses

Primary practice location

505 Parnassus Ave
San Francisco, CA 94143-2204

Mailing address

2001 The Embarcadero Ste 1500
San Francisco, CA 94143-5200
Phone (415) 885-7268

Other identifiers 1

IdentifierTypeStateIssuer
GR0084564MedicaidCA

Other names 1

  • UCSF Medical Center 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
O20031106000823 CA Part B Supplier - Clinic/Group Practice 6204749112 Receives reassigned benefits from 1,264 practitioners
Practice locations: Pleasanton, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Locations

1500 Owens St
Ste 300
San Francisco, CA 94158
Phone (415) 514-6234

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2330 Post St
Ste 320
San Francisco, CA 94115
Phone (415) 885-3761

3333 California St
San Francisco, CA 94118
Phone (415) 514-3577

3490 California St
San Francisco, CA 94118
Phone (415) 514-6200

500 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-4562

500 Parnassus Ave
#403E
San Francisco, CA 94143

Practitioners & affiliated clinicians

Practitioners 1,470

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.

View all 1,470

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1376614016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 THE EMBARCADERO STE 1500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941435200",
            "telephone_number": "415-885-7268",
            "fax_number": "415-885-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-2000",
            "fax_number": "415-353-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF PEDIATRICS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "BO",
        "authorized_official_first_name": "KOSAL",
        "authorized_official_title_or_position": "VICE PRESIDENT, MEDICAL STAFF GOV",
        "authorized_official_telephone_number": "415-353-7235"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "220000091",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "220000091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084564",
            "state": "CA"
        }
    ],
    "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": "UCSF Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSF Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.