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UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP NPI 1518932631


NPI Information

NPI: 1518932631
Provider Name: UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

Doing Business As: SFGH MEDICAL GROUP ORTHOPEDIC APPLIANCE FACILITY

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2550 23RD ST
BLDG 9, RM 119
SAN FRANCISCO, CA
ZIP 94110
Phone: (628) 206-4387
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UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP is a prosthetic orthotic supplier in San Francisco, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP NPI is 1518932631. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sfgh Medical Group Orthopedic Appliance Facility.

The provider's business location address is:

2550 23RD ST
BLDG 9, RM 119
SAN FRANCISCO, CA
ZIP 94110-518
Phone: (628) 206-4387
Fax: (628) 206-4389

The provider's authorized official is Grace Fernandez .
The authorized official title is Director Ucsf Sfgh Cpg Business and has the following contact phone number (415) 206-8969.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 12/17/2021.


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
1222Z00000XOrthotistNo
2224P00000XProsthetistNo
3335E00000XProsthetic/Orthotic SupplierYes

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
1GXC000280MEDICAIDCALIFORNIA

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: 11/14/2023

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