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Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Active
Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Active
Other names
UCSF Pediatrics 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) 353-2002
(415) 353-2739
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
208000000X
Pediatrics Physician
Primary
220000091
CA
2080P0201X
Pediatric Allergy/Immunology Physician
220000091
CA
2080P0202X
Pediatric Cardiology Physician
220000091
CA
2080P0205X
Pediatric Endocrinology Physician
220000091
CA
2080P0206X
Pediatric Gastroenterology Physician
220000091
CA
2080P0207X
Pediatric Hematology & Oncology Physician
220000091
CA
2080P0208X
Pediatric Infectious Diseases Physician
220000091
CA
2080P0210X
Pediatric Nephrology Physician
220000091
CA
2080P0214X
Pediatric Pulmonology Physician
220000091
CA
2080P0216X
Pediatric Rheumatology Physician
220000091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008429J
—
CA
Enumeration date
10/31/2006
Last updated
06/13/2023
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