NPIMap

Individual provider Active NPI

Roberto Rafael Ricardo Gonzalez, M.D., PH.D.

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1487949533
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A123884 Issued in CA
Practice address
1701 Divisadero Street, 3Rd Floor
UCSF Dermatology
San Francisco, CA 94115
Phone
(415) 353-7800
Fax
(415) 353-7870
NPI assigned
Jun 16, 2011
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 247616 MA
Dermatology Physician 207N00000X A123884 CA Primary

Addresses

Primary practice location

1701 Divisadero Street, 3Rd Floor
UCSF Dermatology
San Francisco, CA 94115

Mailing address

1701 Divisadero Street, 3Rd Floor
UCSF Dermatology
San Francisco, CA 94115
Phone (415) 353-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708001223 CA Practitioner - Dermatology 2567693716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions210
Removal or shaving of skin growth1-10
Skin biopsy29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A123884CAMDDermatology Physician
247616MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jun 15, 2015 Accepting new patients
University of California SFGH Medical Group Dermatology CurrentSince Jun 15, 2015 Accepting new patients
University of California San Francisco Dermatology CurrentSince Jul 1, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2015 Accepting new patients
UCSF Medical Group Business Services Dermatology CurrentSince Jul 1, 2015 Accepting new patients
City and County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
City & County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2015 Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300

1701 Divisadero St
Fl 3
San Francisco, CA 94115
Phone (415) 353-7800

1701 Divisadero St
Ste 120
San Francisco, CA 94115
Phone (415) 502-4444

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#316
San Francisco, CA 94143
Phone (415) 353-7800

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

995 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (628) 206-4777

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1487949533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO STREET, 3RD FLOOR",
            "address_2": "UCSF DERMATOLOGY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-353-7800",
            "fax_number": "415-353-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO STREET, 3RD FLOOR",
            "address_2": "UCSF DERMATOLOGY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-353-7800",
            "fax_number": "415-353-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARDO GONZALEZ",
        "first_name": "ROBERTO",
        "middle_name": "RAFAEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "247616",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A123884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.