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General NPI Number Information
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NPI Number | 1265392393
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 995 POTRERO AVE BLDG 80 WARD 82
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2859
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Country | US
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Telephone | 628-206-5540
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Fax | 628-208-8345
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Provider Business Mailing Address
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Address Line | 1001 POTRERO AVE # 7M8
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 628-206-5540
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Fax | 628-208-8345
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JUANITA VILLANUEVA
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Credential |
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Telephone | 707-410-8471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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