Provider Demographics
NPI:1316061997
Name:UCSF HEALTH COMMUNITY HOSPITALS
Entity type:Organization
Organization Name:UCSF HEALTH COMMUNITY HOSPITALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-514-6118
Mailing Address - Street 1:PO BOX 885904
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90088-5904
Mailing Address - Country:US
Mailing Address - Phone:415-353-4739
Mailing Address - Fax:
Practice Address - Street 1:900 HYDE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4806
Practice Address - Country:US
Practice Address - Phone:415-353-6000
Practice Address - Fax:415-353-6912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UCSF HEALTH COMMUNITY HOSPITALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-19
Last Update Date:2024-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220000069282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSC00152FMedicaid
01OtherKAISER
CAHSP40152FMedicaid
CALAB93789FMedicaid
CAZZR00152FMedicaid
CAZZZA3807ZOtherBLUE SHIELD
01OtherKAISER
=========OtherIRS
CA050152Medicare Oscar/Certification