GOLDEN GATE UROLOGY, INC. (NPI# 1063640738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063640738 |
| Entity Type | Organization |
| Organization Name | GOLDEN GATE UROLOGY, INC. |
| Practice Address |
1661 Mission St San Francisco CA 94103-2413 |
| Mailing Address |
Dept La 23565 Pasadena CA 91185-3565 |
| Practice Telephone | 4155432830 |
| Practice Fax Number | 4155432830 |
| Mailing Telephone | 4155432830 |
| Mailing Fax Number | 4153543431 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | FRANK J PONTERIO (SENIOR REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 4155432830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | DP8077 | 01 |
| CA | 1063640738 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 929 Clay St Ste 505, San Francisco, CA 941081500 | 4153929690 | 4153929695 |
| 728 Pacific Ave Ste 608, San Francisco, CA 941334449 | 4152020260 | 6282283190 |
| 45 Castro St Ste 165, San Francisco, CA 941141010 | 4158610600 | 4158610606 |
| 2186 Geary Blvd Ste 214, San Francisco, CA 941153456 | 4159223255 | 4159222527 |
| 2100 Webster St Ste 222, San Francisco, CA 941152376 | 4152020250 | 4152020255 |
| 2999 Regent St Ste 612, Berkeley, CA 947052121 | 5108481727 | 5108488224 |
| 3100 Telegraph Ave Ste 3000, Oakland, CA 946093210 | 5102381238 | 5102381338 |
| 1850 Sullivan Ave Ste 300, Daly City, CA 940152204 | 4158610600 | 4158610606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| Street Address |
1661 MISSION ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801820394 | David Gregory Kornguth | Radiology | 1661 Mission St, San Francisco, CA 94103-2413 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1194118224 | Yi Li | Urology | 400 Parnassus Ave, A633, University of California, San Francisco, San Francisco, CA 94143-2202 | 2015-03-13 |
| 1497917579 | Yevgeniy Veltman | Urology | 2186 Geary Blvd Ste 214, San Francisco, CA 94115-3456 | 2008-06-30 |
| 1346449204 | Anne Michelle Suskind | Urology | 400 Parnassus Ave # 738, San Francisco, CA 94143-2202 | 2007-07-12 |
| 1245434539 | Mang Lam Chen | Urology | 45 Castro St Ste 111, San Francisco, CA 94114-1019 | 2007-06-12 |
| 1245360320 | Thomas Chi | Urology | Ucsf Department of Surgery, 513 Parnassus Ave, S-321, San Francisco, CA 94143-0001 | 2007-03-06 |
| 1376686279 | Jerome M. Weiss | Urology | 490 Post Street, Suite 1100, San Francisco, CA 94102 | 2007-02-14 |
| 1306999040 | Herbert J Konkoff Md Inc | Urology | 1739 Scott St, San Francisco, CA 94115 | 2007-01-18 |
| 1417018813 | Brian P Grady | Urology | 45 Castro Street Davies South Tower, Level A, Suite 165, San Francisco, CA 94114 | 2006-12-12 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.