UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP NPI 1518932631

NPI Information

NPI: 1518932631
Provider Name: UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Doing Business As: SFGH MEDICAL GROUP ORTHOPEDIC APPLIANCE FACILITY
Address: 2550 23RD ST
BLDG 9, RM 119
SAN FRANCISCO, CA
ZIP 94110
Phone: (628) 206-4387

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NPI Details

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 Code	Taxonomy Clasification	Primary
1	222Z00000X	Orthotist	No
2	224P00000X	Prosthetist	No
3	335E00000X	Prosthetic/Orthotic Supplier	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GXC000280	MEDICAID	CALIFORNIA

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: 3/30/2025

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