California Pacific Specialty Services

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

Legal business name

CALIFORNIA PACIFIC SPECIALTY SERVICES

Practice address

2302 Fillmore St
Suite a
San Francisco, CA 94115-1813

Phone

(415) 931-3313

Fax

(415) 931-3003

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michele Gandolfo

Title

Director Officer

Phone

(415) 931-3313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508909466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 FILLMORE ST",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151813",
            "telephone_number": "415-931-3313",
            "fax_number": "415-931-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 FILLMORE ST",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151813",
            "telephone_number": "415-931-3313",
            "fax_number": "415-931-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PACIFIC SPECIALTY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDOLFO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR OFFICER",
        "authorized_official_telephone_number": "415-931-3313",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ07860Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• California Pacific Vascular Laboratory Medical Associate
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• California Public Utilities Commission
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• Transplant Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Transplant Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.