NPIMap

Organization Active NPI

UCSF Medical Center

  • Adult Health Nurse Practitioner
  • San Quentin, CA
National Provider Identifier
1790905156
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP12252 Issued in CA
Legal business name
UCSF MEDICAL CENTER
Practice address
San Quentin State Prison
San Quentin, CA 94964
Phone
(415) 454-1460
NPI assigned
Apr 26, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Teh L Lee, NPNPI 1376774521
Title
Nurse Practitioner
Phone
(415) 420-7572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP12252 CA Primary

Addresses

Primary practice location

San Quentin State Prison
San Quentin, CA 94964

Mailing address

1689 19TH Ave
San Francisco, CA 94122-4517
Phone (415) 420-7572

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1790905156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 19TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224517",
            "telephone_number": "415-420-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN QUENTIN STATE PRISON",
            "city": "SAN QUENTIN",
            "state": "CA",
            "postal_code": "94964",
            "telephone_number": "415-454-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TEH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "415-420-7572",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Quentin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.