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Organization

UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER

Active
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Organization

UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER

Active
Other names
UCSF Radiologic Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization

Contact information

Practice address
400 PARNASSUS AVE, MCB 300, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
CA
2085R0202X
Diagnostic Radiology Physician
—
CA
2085R0204X
Vascular & Interventional Radiology Physician
—
CA
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008429L
—
CA
Enumeration date
11/06/2006
Last updated
09/11/2025
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