UCSF Genomic Medicine Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2080584 Issued in CA

Legal business name

UCSF GENOMIC MEDICINE LABORATORY

Practice address

513 Parnassus Avenue, Hsw901A
Hsw901A
San Francisco, CA 94143-0793

Phone

(415) 502-3560

Fax

(415) 476-2956

NPI assigned

Jul 26, 2017

Last updated

Jul 26, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCOAs reported in NPPES

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

Authorized official

Name

Jessica Van Ziffle, PHD, FACMG

Title

Laboratory Director

Phone

(415) 502-0747

Specialties & licenses 1

Addresses

Part of

UCSF Genomic Medicine Laboratory

Locations

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1437673092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE, S965",
            "address_2": "BOX 0794",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430794",
            "telephone_number": "415-502-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVENUE, HSW901A",
            "address_2": "HSW901A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430793",
            "telephone_number": "415-502-3560",
            "fax_number": "415-476-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF GENOMIC MEDICINE LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "VAN ZIFFLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "415-502-0747",
        "authorized_official_credential": "PHD, FACMG"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2080584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• UCSF Dermatopathology Service
• UCSF Division of Orthodontics
• UCSF Faculty Group & Prosthodontics
• UCSF Faculty Group Dental Practice
• UCSF Faculty GRP Dent Pract & Grad Prosthodontics CL3
• UCSF Health
• UCSF Health Community Hospitals (UCSF Health - St. Mary's Hospital Clinic Pharmacy)
• UCSF Health Community Hospitals (Primary Care at SFO Medical Clinic)
• UCSF Health Community Hospitals (UCSF Health - St. Mary's Hospital)
• UCSF Health Community Hospitals (UCSF Health Hyde Hospital (Rehab))

• Clinical Medical Laboratory in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.