# UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Other names:** UCSF Ophthalmology Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104995364
- **Legal business name:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Authorized official:** MR. JED SHIVERS (COO)
- **Authorized official phone:** (415) 476-4003

## Contact information

- **Practice address:** 400 PARNASSUS AVE, 750 A, SAN FRANCISCO, CA 94122-2721
- **Practice address phone:** (415) 353-2800
- **Practice address fax:** (415) 353-2564
- **Mailing address:** 1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
- **Mailing address phone:** (415) 476-4029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 220000091 | CA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 04/15/2025