# UCSF DEPARTMENT OF PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UCSF MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174834337
- **Legal business name:** UCSF MEDICAL CENTER
- **Authorized official:** MR. DAVID REIN (CFO)
- **Authorized official phone:** (415) 476-4003

## Contact information

- **Practice address:** 400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
- **Practice address phone:** (415) 476-1000
- **Practice address fax:** (415) 476-4150
- **Mailing address:** 1635 DIVISADERO ST, STE 625, SAN FRANCISCO, CA 94143-1821
- **Mailing address phone:** (415) 476-4029
- **Mailing address fax:** (415) 476-4150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 220000091 | CA | — |
| 363LF0000X | Family Nurse Practitioner | 220000091 | CA | — |
| 363LP0200X | Pediatric Nurse Practitioner | 220000091 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 04/16/2025
