UCSF DIVISION OF ORTHODONTICS (NPI# 1093880353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093880353 |
| Entity Type | Organization |
| Organization Name | UCSF DIVISION OF ORTHODONTICS |
| Practice Address |
707 Parnassus Ave Box 0438 San Francisco CA 94143-0438 |
| Practice Telephone | 4155026707 |
| Practice Fax Number | 4155140377 |
| Mailing Telephone | 4155026707 |
| Mailing Fax Number | 4155140377 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES N BERTOLAMI (DEAN SCHOOL OF DENTISTRY) |
| Authorized Official Telephone | 4154761323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA CHILDRENS SERV | CGP166827 | 01 |
| CA | DENTI-CAL PROVIDER # | G02003-01 | 01 |
| CA | DELTA DENTAL PROVIDER # | 2003 | 01 |
| Street Address |
707 PARNASSUS AVE BOX 0438 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-0438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180331 | Siyouneh Novshadian | Dentist | 999 Sutter St # 11, San Francisco, CA 94109-6023 | 2019-12-09 |
| 1881189736 | Allan Yuanshan Wang | Dentist | 2480 Mission St Ste 323-324, San Francisco, CA 94110-2468 | 2018-06-24 |
| 1356842637 | Alice Goodwin | Dentist | 1825 4th St # 5b, San Francisco, CA 94143-2350 | 2018-02-22 |
| 1912456286 | Melissa Chin | Dentist | 2000 Van Ness Ave Ste 202, San Francisco, CA 94109-3021 | 2016-09-28 |
| 1144673450 | Stephan Suksong Yoon | Dentist | 1373 17th Ave, San Francisco, CA 94122-1912 | 2016-07-21 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1598156788 | Van H Tran | Dentist | 690 33rd Ave, Apt #204, San Francisco, CA 94121-2760 | 2015-02-10 |
| 1548679319 | Matthew Cozin | Dentist | 1026 Noriega St, San Francisco, CA 94122-4514 | 2014-08-06 |
| 1912250176 | Kjeld Aamodt | Dentist | 999 Sutter Street, Suite 207, San Francisco, CA 94109 | 2012-10-24 |
| 1639429939 | Emerald Nguyen | Dentist | 707 Parnassus Ave # D-3030, San Francisco, CA 94143-2210 | 2012-09-13 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
Please comment or provide details below to improve the information on UCSF DIVISION OF ORTHODONTICS.
| 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.