NPIMap

Organization Active NPI

UCSF Medical Group Business Services

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1417268681
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220000091 Issued in CA
Legal business name
UCSF MEDICAL GROUP BUSINESS SERVICES
Practice address
400 Parnassus Ave
San Francisco, CA 94143-2202
Phone
(415) 476-4003
Fax
(415) 476-4150
NPI assigned
Jun 23, 2010
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
UCSF MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Mr. David Rein
Title
Cfo
Phone
(415) 476-4003

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 220000091 CA
Family Nurse Practitioner 363LF0000X 220000091 CA Primary
Pediatric Nurse Practitioner 363LP0200X 220000091 CA

Addresses

Primary practice location

400 Parnassus Ave
San Francisco, CA 94143-2202

Mailing address

1635 Divisadero St
Ste 625
San Francisco, CA 94143-1821
Phone (415) 476-4029

National Provider Directory

National Provider Directory
Tax ID family
Mount Zion Dept of Med15 organizations share this tax ID, including this one
Part of
Mount Zion Dept of Med

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1417268681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "STE 625",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941431821",
            "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",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-476-4003",
            "fax_number": "415-476-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF MEDICAL GROUP BUSINESS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCSF MEDICAL CENTER",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "REIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-476-4003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "220000091",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "220000091",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "220000091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2010; 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.