Healthcare Provider Details

I. General information

NPI: 1982922613
Provider Name (Legal Business Name): UCSF MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 05/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVENUE SUITE A808
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

400 PARNASSUS AVE
SAN FRANCISCO CA
94143-2202
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2361
  • Fax: 415-353-2889
Mailing address:
  • Phone: 415-353-2361
  • Fax: 415-353-2889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number19084
License Number StateCA

VIII. Authorized Official

Name: MISS JENNIFER AMY VINER
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 415-353-2361