UCSF Pediatric Associates

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

730621

Legal business name

UCSF PEDIATRIC ASSOCIATES

Doing business as

UCSF Medical Center

Practice address

505 Parnassus Ave # M647
UCSF Benioff Childrens Hospital
San Francisco, CA 94143-0106

Phone

(415) 476-9628

NPI assigned

Oct 15, 2012

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katti Yang

Title

Coo

Phone

(415) 476-9628

Specialties & licenses 1

Addresses

Other names 1

• UCSF Medical Center Doing business as

Electronic endpoints 1

Tax ID family

Bluemark LLC Office Ally3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pediatric Associates

  • Physician Assistant
  • San Francisco, CA
  • NPI 1366735581
  NPD tax ID
• UCSF Department of Pediatrics

  • Pediatric Nurse Practitioner
  • San Francisco, CA
  • NPI 1174834337
  NPD tax ID

Locations

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1457604498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE,, #M647, BOX 0106",
            "address_2": "UCSF BENIOFF CHILDREN'S HOSPITAL,",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430106",
            "telephone_number": "415-476-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M647",
            "address_2": "UCSF BENIOFF CHILDRENS HOSPITAL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430106",
            "telephone_number": "415-476-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "KATTI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-476-9628"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": "730621",
            "primary": true
        }
    ],
    "identifiers": [],
    "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"
        }
    ]
}

• UCSF Oral & Maxillofacial Surgery
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• UCSF Oral Surgery CL. #20-3
• UCSF Package Pricing Program
• UCSF Pediatric Dentistry
• UCSF Pediatric Dentistry
• UCSF Pediatrics Associates (UCSF Medical Center)
• UCSF Periodontal Specialty Clinic
• UCSF Periodontal Specialty Clinic

• Children's Hospital in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Children's Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.