Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Other names
UCSF OB GYN Med Grp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
505 PARNASSUS AVE, M1490, SAN FRANCISCO, CA 94143-2204
(415) 353-2223
(415) 353-9550
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
207RX0202X
Medical Oncology Physician
Primary
220000091
CA
207VG0400X
Gynecology Physician
220000091
CA
207VX0201X
Gynecologic Oncology Physician
220000091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084291
—
CA
Enumeration date
11/09/2006
Last updated
04/16/2025
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