NPIMap

Organization Active NPI

UCSF Aegd Program

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1902196231
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SP243 Issued in CA
Legal business name
UCSF AEGD PROGRAM
Practice address
707 Parnassus Ave
D4000
San Francisco, CA 94143-2210
Phone
(415) 476-3028
Fax
(415) 476-0858
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
John Featherstone, PH.D.
Title
Dean
Phone
(415) 476-1323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X SP243 CA Primary

Addresses

Primary practice location

707 Parnassus Ave
D4000
San Francisco, CA 94143-2210

Mailing address

707 Parnassus Ave
D4000
San Francisco, CA 94143-2210
Phone (415) 476-3028

National Provider Directory

National Provider Directory
Tax ID family
UC School of Dentistry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1902196231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "D4000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-3028",
            "fax_number": "415-476-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "D4000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-3028",
            "fax_number": "415-476-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF AEGD PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "FEATHERSTONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "415-476-1323",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "SP243",
            "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 Apr 7, 2011; 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.