UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP (NPI# 1629550660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629550660 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP |
| Other Organization Name | DEPARTMENT OF ADDICTION MEDICINE |
| Practice Address |
1001 Potrero Ave Rm 5h22 San Francisco CA 94110-3518 |
| Mailing Address |
Po Box 7464 San Francisco CA 94120-7464 |
| Practice Telephone | 4155020661 |
| Practice Fax Number | 4154766202 |
| Mailing Telephone | 4155020661 |
| Mailing Fax Number | 4154766202 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | GRACE FERNANDEZ (CPG DIRECTOR) |
| Authorized Official Telephone | 4154768969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Department of Addiction Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1811475759 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 | 2018-08-02 |
| 1518932631 | University of California Sfgh Medical Group | Prosthetist | 2550 23rd St, Bldg 9, Suite 119, San Francisco, CA 94110-3518 | 2006-02-22 |
| 1306282975 | University of California Sfgh Medical Group | Surgery | 1001 Potrero Ave, Rm. 3a35, San Francisco, CA 94110-3518 | 2013-05-22 |
| 1093060691 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm G106a, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1730434333 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm 5g8, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1710232319 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm 5h17, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1659626257 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Ave, Bldg.5, Rm 5h24, San Francisco, CA 94110-3518 | 2012-07-19 |
| 1356696215 | University of California Sfgh Medical Group | Internal Medicine | 995 Potrero Ave, Bldg.80, Rm 229, San Francisco, CA 94110-2859 | 2012-07-17 |
| 1760790398 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Ave, Rm. 1n1, San Francisco, CA 94110-3518 | 2010-09-16 |
| Street Address |
1001 POTRERO AVE RM 5H22 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508079807 | Lori Deene Karan | Internal Medicine | Room A307b 401 Parnassus Avenue, San Francisco, CA 94143 | 2007-05-07 |
| 1679593693 | Diana Amodia | Internal Medicine | 433 Turk St, San Francisco, CA 94102-3329 | 2006-07-20 |
| 1356752075 | Hannah Rose Snyder | Internal Medicine | 995 Potrero Ave, Bldg 80, Wd 83, San Francisco, CA 94110-2859 | 2014-05-15 |
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| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.