Active NPI
UCSF Medical Group Business Services
Doing business as UCSF Neurology Med Grp
- Neurology Physician
- San Francisco, CA
National Provider Identifier
1396824520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- UCSF MEDICAL GROUP BUSINESS SERVICES
- Doing business as
- UCSF Neurology Med Grp
- Practice address
- 400 Parnassus Ave
A887
San Francisco, CA 94143-2202 - Phone
- (415) 353-2273
- Fax
- (415) 353-2898
- NPI assigned
- Nov 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | CA | Primary |
Addresses
Primary practice location
400 Parnassus Ave
A887
San Francisco, CA 94143-2202
Mailing address
1635 Divisadero St
Suite 625, Box 1821
San Francisco, CA 94143-0001
Phone (415) 476-4029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR008428Z | Medicaid | CA |
Other names 1
- UCSF Neurology Med Grp
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396824520",
"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": "A887",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-353-2273",
"fax_number": "415-353-2898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UCSF MEDICAL GROUP BUSINESS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"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": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR008428Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UCSF Neurology Med Grp",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Francisco, CA
- UCSF Medical Group Business Services
- UCSF Medical Group Business Services
- UCSF Medical Group Business Services (UCSF Department of Neurosurgery)
- UCSF Medical Group Business Services (UCSF OB GYN Med Grp)
- UCSF Medical Group Business Services (UCSF Orthotic and Prosthetic Center at Mission Bay)
- UCSF Medical Group Business Services
- UCSF Medical Group Business Services
- UCSF Medical Group Business Services
- UCSF Medical Group Business Services (UCSF Neurosurgery Med Grp)
- UCSF Medical Group Business Services (UCSF Family and Comm Med Grp)
Sources for this page
- 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.