UCSF Medical Group Business Services

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

UCSF MEDICAL GROUP BUSINESS SERVICES

Doing business as

UCSF Otolaryngology Med Grp

Practice address

350 Parnassus Ave
210
San Francisco, CA 94143-0001

Phone

(415) 353-2757

Fax

(415) 353-2603

NPI assigned

Nov 7, 2006

Last updated

Sep 11, 2025By 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

Mr. Jed Shivers

Title

Coo

Phone

(415) 476-4003

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• UCSF Otolaryngology Med Grp Doing business as

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1932278702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-353-2757",
            "fax_number": "415-353-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE",
            "address_2": "210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-353-2757",
            "fax_number": "415-353-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF MEDICAL GROUP BUSINESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHIVERS",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-476-4003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084293",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Otolaryngology Med Grp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• UCSF Medical Group Business Services (UCSF Dermatology Med Grp)
• UCSF Medical Group Business Services (UCSF Department of Neurosurgery)
• UCSF Medical Group Business Services (UCSF Urology Med Grp)
• UCSF Medical Group Business Services (The Regents of the University of California San Francisco)
• UCSF Medical Group Business Services (UCSF Nephrology Med Grp)
• UCSF Oral & Maxillofacial Surgery
• UCSF Oral Medicine Clinic
• UCSF Oral Surgery CL. #20-3
• UCSF Oral Surgery CL. #20-3
• UCSF Package Pricing Program

• Facial Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.