Healthcare Provider Details

I. General information

NPI: 1922124866
Provider Name (Legal Business Name): UCSF HEALTH MEDICAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 52ND ST
OAKLAND CA
94609-1809
US

IV. Provider business mailing address

6425 CHRISTIE AVE STE 220
EMERYVILLE CA
94608-1073
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-4424
  • Fax: 415-353-8280
Mailing address:
  • Phone: 415-476-4407
  • Fax: 415-353-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number140000015
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JIMMY HU
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 415-476-7229