UCSF MEDICAL CENTER NPI 1790905156

NPI Information

  • NPI: 1790905156
  • Provider Name: UCSF MEDICAL CENTER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: SAN QUENTIN STATE PRISON
    SAN QUENTIN, CA
    ZIP 94964
  • Phone: (415) 454-1460

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NPI Details

UCSF MEDICAL CENTER is an adult health nurse practitioner in San Quentin, CA. UCSF MEDICAL CENTER NPI is 1790905156. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

SAN QUENTIN STATE PRISON
SAN QUENTIN, CA
ZIP 94964
Phone: (415) 454-1460

The provider's authorized official is Teh L Lee .
The authorized official title is Nurse Practitioner and has the following contact phone number (415) 420-7572.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 12/4/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthNP12252CALIFORNIAYes

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: 11/21/2025

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