Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Active
Other names
UCSF Mt. Zion Gyn Faculty Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
1600 DIVISADERO ST, SAN FRANCISCO, CA 94143-0001
(415) 885-7788
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
—
CA
207V00000X
Obstetrics & Gynecology Physician
—
CA
207VE0102X
Reproductive Endocrinology Physician
—
CA
207VG0400X
Gynecology Physician
—
CA
207VX0201X
Gynecologic Oncology Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008429W
—
CA
Enumeration date
01/29/2007
Last updated
09/11/2025
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