Healthcare Provider Details

I. General information

NPI: 1285506030
Provider Name (Legal Business Name): UCSF HEALTH MEDICAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSF HEALTH SANTA CRUZ URGENT CARE 1665 DOMINICAN WAY
SANTA CRUZ CA
95065-1555
US

IV. Provider business mailing address

6425 CHRISTIE AVE SUITE 220
EMERYVILLE CA
94608
US

V. Phone/Fax

Practice location:
  • Phone: 831-246-8772
  • Fax: 831-331-4737
Mailing address:
  • Phone: 415-476-4977
  • Fax: 415-353-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. YINA R ALVAREZ
Title or Position: SR. DIRECTOR OF OPERATIONS
Credential:
Phone: 415-476-4969