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General NPI Number Information
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NPI Number | 1750454534
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 PARNASSUS AVE MCB 300
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2202
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Country | US
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Telephone | 415-353-2200
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Fax | 415-353-2641
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Provider Business Mailing Address
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Address Line | 1635 DIVISADERO ST SUITE 625, BOX 1821
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0001
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Country | US
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Telephone | 415-476-4029
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Fax | 415-476-4150
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Authorized Official
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Title or Position | COO
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Name | MR. JED SHIVERS
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Credential |
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Telephone | 415-476-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State | CA
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