Regents of the University of Ca UCSF Advanced Edu Gen Dentist

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2065 Issued in CA

Legal business name

REGENTS OF THE UNIVERSITY OF CA UCSF ADVANCED EDU GEN DENTIST

Practice address

707 Parnassus Ave
Suite 4000
San Francisco, CA 94143-2210

Phone

(415) 476-3028

Fax

(415) 502-8399

NPI assigned

Mar 14, 2014

Last updated

Mar 14, 2014By 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

Bel Serrano

Title

Financial Assistant

Phone

(415) 476-2055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1790101749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "SUITE 4000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-3028",
            "fax_number": "415-502-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "SUITE 4000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-3028",
            "fax_number": "415-502-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CA UCSF ADVANCED EDU GEN DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "BEL",
        "authorized_official_title_or_position": "FINANCIAL ASSISTANT",
        "authorized_official_telephone_number": "415-476-2055"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Regan, MFT
• Soham Rege, MD, MPH
• Mikhail Regelman, MD
• Anne C. Regenstein, MD
• Allan Regenstreif, MFT
• Regents of the University of California
• Regents of the University of California (UCSF Dept of Medicine Nephrology)
• Regents of the University of California (UCSF Department of Medicine Pulmonary)
• Regents of the University of California (UCSF Department of Med Infectious Disease)
• Regents of the University of California (UCSF Department of Medicine Cardiology)

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.