UCSF Oral Surgery CL. #20-3

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

UCSF ORAL SURGERY CL. #20-3

Practice address

707 Parnassus Ave
San Francisco, CA 94143

Phone

(415) 476-1316

Fax

(415) 476-8999

NPI assigned

Nov 2, 2006

Last updated

Sep 21, 2009By 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

Dr. John D Featherstone, PHD

Title

Interim Dean

Phone

(415) 476-8997

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• UCSF Orofacial Center Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of California San Francisco

  dba UC Community Focus

  • Case Management Agency
  • San Francisco, CA
  • NPI 1437218567

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Hieu D Pham, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Francisco, CA
  • NPI 1972560043
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1922187848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "BOX 0756",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-1316",
            "fax_number": "415-476-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-1316",
            "fax_number": "415-476-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF ORAL SURGERY CL. #20-3",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "FEATHERSTONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "INTERIM DEAN",
        "authorized_official_telephone_number": "415-476-8997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Orofacial Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• UCSF Medical Group Business Services (UCSF Nephrology Med Grp)
• UCSF Medical Group Business Services (UCSF Otolaryngology Med Grp)
• UCSF Oral & Maxillofacial Surgery
• UCSF Oral Medicine Clinic
• UCSF Oral Surgery CL. #20-3
• UCSF Package Pricing Program
• UCSF Pediatric Associates (UCSF Medical Center)
• UCSF Pediatric Dentistry
• UCSF Pediatric Dentistry
• UCSF Pediatrics Associates (UCSF Medical Center)

• Oral & Maxillofacial Surgery (D.M.D.) in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.