Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Active
Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Active
Other names
UCSF Mt. Zion Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94143-0001
(415) 476-1000
Mailing address
1635 DIVISADERO ST, STE 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
—
GR008429M
—
CA
Enumeration date
11/01/2006
Last updated
09/11/2025
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