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GOLDEN GATE UROLOGY INC NPI 1063640738


NPI Information

NPI: 1063640738
Provider Name: GOLDEN GATE UROLOGY INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D0994161

Address:
1661 MISSION ST
SAN FRANCISCO, CA
ZIP 94103
Phone: (415) 543-2830
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GOLDEN GATE UROLOGY INC is an urology in San Francisco, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. GOLDEN GATE UROLOGY INC NPI is 1063640738. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1661 MISSION ST
SAN FRANCISCO, CA
ZIP 94103-413
Phone: (415) 543-2830
Fax: (415) 543-2830

The provider's authorized official is Sara Betancourt .
The authorized official title is Director Of Finance and has the following contact phone number (415) 543-2830.

The CLIA number assigned to this NPI record is 05D0994161 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/1/2009 and was last updated on 7/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyNo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DP8077OTHERCALIFORNIARAILROAD MEDICARE
21063640738MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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