| Ucsf Oral & Maxillofacial Surgery | |
|
513 Parnassus Ave Box 0476 San Francisco CA 94143-2205 | |
| (415) 476-3242 | |
| (415) 476-0665 |
| Full Name | Ucsf Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 513 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | John D Featherstone (INTERIM DEAN) |
| Authorized Official Contact | 4154768997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Oral & Maxillofacial Surgery 513 Parnassus Ave Box 0476 San Francisco CA 94143-2205 Ph: (415) 476-3242 | Ucsf Oral & Maxillofacial Surgery 513 Parnassus Ave Box 0476 San Francisco CA 94143-2205 Ph: (415) 476-3242 |
| NPI Number | 1679652598 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 10/16/2008 |
| Medicare PECOS PAC ID | 1254223126 |
|---|---|
| Medicare Enrollment ID | O20040325001597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679652598 | NPI | - | NPPES |
| GR0041990 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Brian Thomas Bast |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1689693087 PECOS PAC ID: 3476549957 Enrollment ID: I20040421000778 |
| Provider Name | John C Robinson |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1588721229 PECOS PAC ID: 7810965506 Enrollment ID: I20040921000313 |
| Provider Name | Ava J Wu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629162110 PECOS PAC ID: 2163500570 Enrollment ID: I20080425000415 |
| Provider Name | Michael A Pogrel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1679539530 PECOS PAC ID: 1456415058 Enrollment ID: I20090127000130 |
| Provider Name | Snehlata Oberoi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013167378 PECOS PAC ID: 9335298439 Enrollment ID: I20090520000344 |
| Provider Name | Jennifer D Perkins Chen |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1194967174 PECOS PAC ID: 5496978330 Enrollment ID: I20140522001449 |
| Provider Name | Sampeter Liech Odera |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1073871448 PECOS PAC ID: 0749411056 Enrollment ID: I20150721002215 |
| Provider Name | Derek S.c. Park |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770826406 PECOS PAC ID: 9234443078 Enrollment ID: I20150806011521 |
| Provider Name | Mark Roper |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134273592 PECOS PAC ID: 3577859024 Enrollment ID: I20160908002278 |
| Provider Name | Sohail Saghezchi |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1588803449 PECOS PAC ID: 5193092609 Enrollment ID: I20170602002294 |
| Provider Name | Kyle Burke Jones |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1316475213 PECOS PAC ID: 2668741653 Enrollment ID: I20170706003226 |
| Provider Name | Kamal Ah Al-eryani |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356860290 PECOS PAC ID: 6608137310 Enrollment ID: I20180220002778 |
| Provider Name | Maria Thompson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508173709 PECOS PAC ID: 8224385281 Enrollment ID: I20180720003145 |
| Provider Name | Andrew Weeks |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760788095 PECOS PAC ID: 6305091026 Enrollment ID: I20190117003775 |
| Provider Name | Alice Goodwin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356842637 PECOS PAC ID: 8527308022 Enrollment ID: I20190320001079 |
| Provider Name | Seon Young Min |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982076519 PECOS PAC ID: 7113274150 Enrollment ID: I20190418001355 |
| Provider Name | Karen Chong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427607910 PECOS PAC ID: 0345670030 Enrollment ID: I20200421000614 |
| Provider Name | Thomas S Tanbonliong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689886624 PECOS PAC ID: 7618394594 Enrollment ID: I20200825000471 |
| Provider Name | Jean Marie Calvo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912461930 PECOS PAC ID: 3971922600 Enrollment ID: I20200930001240 |
| Provider Name | Kimiya Abtahi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295397719 PECOS PAC ID: 1759701527 Enrollment ID: I20201015003026 |
| Provider Name | Rumpa Ganguly |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699162677 PECOS PAC ID: 2062832488 Enrollment ID: I20201022003889 |
| Provider Name | Shivali Bhatt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679246888 PECOS PAC ID: 8527456532 Enrollment ID: I20211025001732 |
| Provider Name | Carl Buchanon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457920811 PECOS PAC ID: 3678949435 Enrollment ID: I20221212000640 |
| Provider Name | Jill Marie White |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427360940 PECOS PAC ID: 6800261330 Enrollment ID: I20230413002405 |
| Provider Name | Rashmi Mishra |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053982280 PECOS PAC ID: 7315338951 Enrollment ID: I20230929001938 |
| Provider Name | Claire Ogata Marcel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841907136 PECOS PAC ID: 4082051222 Enrollment ID: I20240322002088 |
Discovery Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 California St, Suite 200, San Francisco, CA 94109 Phone: 415-441-7766 Fax: 415-441-1919 | |
City Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 Geary Blvd Ste 400, San Francisco, CA 94118 Phone: 415-776-8581 Fax: 415-441-6224 | |
West Portal Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Vicente St, San Francisco, CA 94127 Phone: 415-681-3171 Fax: 415-681-3187 | |
Main Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 5th St, Suite 23m, San Francisco, CA 94103 Phone: 415-929-6501 Fax: 415-929-6654 | |
Baek D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2460 Mission St Ste 204, San Francisco, CA 94110 Phone: 818-497-1222 | |
Jarrod C. Cornehl, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Stockton St Fl 4, San Francisco, CA 94108 Phone: 415-392-5025 | |
Jamie Leach, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Sutter St, Suite 1422, San Francisco, CA 94108 Phone: 650-353-0518 |