NPIMap

Organization Active NPI

University of California San Francisco

  • Psychiatric Hospital
  • San Francisco, CA
National Provider Identifier
1407900095
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
220000377 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice address
1600 Divisadero St., Floor 7
San Francisco, CA 94143-3010
Phone
(415) 476-7000
Fax
(415) 476-7187
NPI assigned
Jan 22, 2007
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Dr. Matthew State, MD
Title
President
Phone
(415) 476-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 220000377 CA Primary

Addresses

Primary practice location

1600 Divisadero St., Floor 7
San Francisco, CA 94143-3010

Mailing address

675 18TH Sreet
San Francisco, CA 94107
Phone (415) 476-7000

Other identifiers 1

IdentifierTypeStateIssuer
ZZR04020FMedicaidCA

Other names 1

  • UCSF Langley Porter Hospital and Clinics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160317000039 CA Part A Provider - Hospital 3678547304 Practice locations: San Francisco, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407900095. Details of each certification follow.

Hospital certification: CCN 054144

Legal name
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Doing business as
UCSF LANGLEY PORTER HOSPITAL AND CLINICS
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 19, 1998
Last certification
Jun 12, 2025
Beds
56 (23 certified)
Ownership / control type
State
Organization structure
GovernmentNon-profit
Incorporated
Jun 18, 1868 in CA
Enrollment address
1600 Divisadero St. Floor 7
San Francisco, CA 94143-3010
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
UCSF Langley Porter Psychiatric Hospital and ClinicsCCN 054144 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1600 Divisadero St
Fl 7
San Francisco, CA 94143

1930 Market St
San Francisco, CA 94102
Phone (415) 476-3902

2550 23rd St
Bldg 9
San Francisco, CA 94110
Phone (415) 206-5270

3333 California St
Ste 150
San Francisco, CA 94118
Phone (415) 476-3886

400 Parnassus Ave
Fl 4
San Francisco, CA 94143
Phone (415) 353-2421

505 Parnassus Ave
#650M
San Francisco, CA 94143
Phone (415) 476-1280

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sheila E Antrum Individual Corporate OfficerProfessor and Chair Oct 1, 2015 100%
Matthew W State Individual Corporate OfficerPresident/Sr VP Oct 1, 2015 100%
University of California San Francisco Organization, San Francisco, CA 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
University of California San Francisco Organization, San Francisco, CA 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Charlotte S Canari Individual Corporate DirectorExec Director ,Government Reim Jul 1, 2014 100%
W-2 Managing EmployeeExec Director, Govt Reimb SVCS Dec 27, 2001 100%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 129

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 129

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1407900095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 18TH SREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94107",
            "telephone_number": "415-476-7000",
            "fax_number": "415-476-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST., FLOOR 7",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941433010",
            "telephone_number": "415-476-7000",
            "fax_number": "415-476-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "STATE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-476-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "220000377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR04020F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Langley Porter Hospital and Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.