Organization Active NPI

University of California, San Francisco

  • Orthopaedic Trauma Physician
  • San Francisco, CA
National Provider Identifier
1730450552
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
A96934 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Practice address
2550 23Rd St BLDG 92ND
San Francisco, CA 94110-3504
Phone
(415) 206-8812
Fax
(415) 647-3733
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Susan Carlisle, MD
Title
Associate Dean
Phone
(415) 206-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X A96934 CA Primary

Addresses

Primary practice location

2550 23Rd St BLDG 92ND
San Francisco, CA 94110-3504

Mailing address

2550 23Rd St BLDG 92ND
San Francisco, CA 94110-3504

National Provider Directory

National Provider Directory

Locations

2550 23rd St
Bldg 92ND
San Francisco, CA 94110
Phone (415) 206-8812

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1730450552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 23RD ST BLDG 92ND",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 23RD ST BLDG 92ND",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103504",
            "telephone_number": "415-206-8812",
            "fax_number": "415-647-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ASSOCIATE DEAN",
        "authorized_official_telephone_number": "415-206-8505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A96934",
            "primary": true
        }
    ],
    "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 Jan 25, 2012; 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.