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Contact Information

UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
2540 23RD STREET, BUILDING 7, 3RD FLOOR
SAN FRANCISCO, CA94110
 Phone: 415-476-2124
 Fax: 415-514-7748
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

NPI # 1700057908
LBN Legal business name UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Authorized official JUANITA VILLANUEVA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2008
Last updated 12/26/2025 - About 5 months ago
Identifiers
CA Medicaid ZZZP3860Z
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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