Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Other names
UCSF Dermatology Med Grp
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, 316, SAN FRANCISCO, CA 94122-2721
(415) 353-7800
(415) 353-7870
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
207N00000X
Dermatology Physician
—
CA
207ND0900X
Dermatopathology Physician
—
CA
207NP0225X
Pediatric Dermatology Physician
—
CA
207NS0135X
Procedural Dermatology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008428V
—
CA
Enumeration date
11/13/2006
Last updated
09/11/2025
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