Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Other names
UCSF Urology 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, A610, SAN FRANCISCO, CA 94143-2202
(415) 353-2200
(415) 353-2641
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
2086X0206X
Surgical Oncology Physician
Primary
—
CA
208800000X
Urology Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008429A
—
CA
Enumeration date
11/09/2006
Last updated
09/11/2025
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