| Ucsf Sfgh Medical Group Dept Of Psychiatry | |
|
1001 Potrero Ave Bldg 25, Bldg 5 San Francisco CA 94110-3518 | |
| (628) 206-8426 | |
| (628) 206-6842 |
| Full Name | Ucsf Sfgh Medical Group Dept Of Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1001 Potrero Ave, San Francisco, California |
| Authorized Official Name and Position | Grace Fernandez (DIRECTOR UCSF SFGH CPG BUSINESS) |
| Authorized Official Contact | 4152068969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Sfgh Medical Group Dept Of Psychiatry Po Box 743749 Los Angeles CA 90074-3749 Ph: (415) 514-3000 | Ucsf Sfgh Medical Group Dept Of Psychiatry 1001 Potrero Ave Bldg 25, Bldg 5 San Francisco CA 94110-3518 Ph: (628) 206-8426 |
| NPI Number | 1356316418 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 5496668410 |
|---|---|
| Medicare Enrollment ID | O20031205000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356316418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David Christ Sutherland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699718783 PECOS PAC ID: 9032012802 Enrollment ID: I20040129000362 |
| Provider Name | Kenneth Gee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851489975 PECOS PAC ID: 2961474150 Enrollment ID: I20040809000849 |
| Provider Name | Dan H Karasic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891711990 PECOS PAC ID: 5092744961 Enrollment ID: I20050810001140 |
| Provider Name | George H Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487684965 PECOS PAC ID: 8426087396 Enrollment ID: I20050810001163 |
| Provider Name | Mark Leary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639108772 PECOS PAC ID: 6709815681 Enrollment ID: I20050810001255 |
| Provider Name | Mary Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942304084 PECOS PAC ID: 8820023310 Enrollment ID: I20051004000398 |
| Provider Name | Ari U Etheridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356361885 PECOS PAC ID: 9133128416 Enrollment ID: I20061214000274 |
| Provider Name | Alissa M Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275678393 PECOS PAC ID: 4284730649 Enrollment ID: I20070501000260 |
| Provider Name | Chad Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023115029 PECOS PAC ID: 6709964133 Enrollment ID: I20080424000565 |
| Provider Name | Christina Y Weyer Jamora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629244553 PECOS PAC ID: 2163582958 Enrollment ID: I20081124000731 |
| Provider Name | Angela D Angstmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518044312 PECOS PAC ID: 9638224637 Enrollment ID: I20090826000863 |
| Provider Name | Melissa L Nau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386834067 PECOS PAC ID: 1052446846 Enrollment ID: I20100318000494 |
| Provider Name | George David Elkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760408769 PECOS PAC ID: 9537354394 Enrollment ID: I20101108000186 |
| Provider Name | John L Herbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396775870 PECOS PAC ID: 4880879014 Enrollment ID: I20110503000235 |
| Provider Name | Yvonne C Cobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578527842 PECOS PAC ID: 5395772396 Enrollment ID: I20110510000184 |
| Provider Name | Emily K Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245256346 PECOS PAC ID: 4284802844 Enrollment ID: I20110726000417 |
| Provider Name | Jessica A Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659554087 PECOS PAC ID: 6002085578 Enrollment ID: I20110818000212 |
| Provider Name | Adrian Aguilera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073761995 PECOS PAC ID: 8426220146 Enrollment ID: I20110930000327 |
| Provider Name | Nikhil D Majumdar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982818480 PECOS PAC ID: 7911064472 Enrollment ID: I20111017000203 |
| Provider Name | Fumi Mitsuishi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962656439 PECOS PAC ID: 0345404539 Enrollment ID: I20120620000351 |
| Provider Name | Michael E Hoefer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205158946 PECOS PAC ID: 6406011501 Enrollment ID: I20120622000066 |
| Provider Name | Rajkumar K Kalapatapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912171000 PECOS PAC ID: 6901054907 Enrollment ID: I20120917000760 |
| Provider Name | Mimi Kar Wing Wong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285708024 PECOS PAC ID: 1759527922 Enrollment ID: I20130412000172 |
| Provider Name | Rebecca A Clendenin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659661189 PECOS PAC ID: 8022257419 Enrollment ID: I20130614000536 |
| Provider Name | Megha Miglani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861792491 PECOS PAC ID: 9739328527 Enrollment ID: I20130627000436 |
| Provider Name | Richard M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922176924 PECOS PAC ID: 6103954946 Enrollment ID: I20130724000556 |
| Provider Name | Sukhi Johal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417158981 PECOS PAC ID: 9436140498 Enrollment ID: I20130805000773 |
| Provider Name | Anton Nigusse Bland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508026097 PECOS PAC ID: 3173751450 Enrollment ID: I20140113000834 |
| Provider Name | Alexis Diane Armenakis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073840948 PECOS PAC ID: 0547492779 Enrollment ID: I20140422001110 |
| Provider Name | Emma C Samelson-jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740424654 PECOS PAC ID: 2163655812 Enrollment ID: I20140502000876 |
| Provider Name | Lauren G Mai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508927104 PECOS PAC ID: 5890928360 Enrollment ID: I20140507002194 |
| Provider Name | Karen A Finch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215253000 PECOS PAC ID: 3971726233 Enrollment ID: I20140514001772 |
| Provider Name | Serana Kathryn Chester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184984734 PECOS PAC ID: 7911120795 Enrollment ID: I20140523000594 |
| Provider Name | James D Seaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639313679 PECOS PAC ID: 8123241718 Enrollment ID: I20140529001354 |
| Provider Name | Jary D Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356654347 PECOS PAC ID: 7416172820 Enrollment ID: I20140626002600 |
| Provider Name | Sarah M Longino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063761096 PECOS PAC ID: 3678898103 Enrollment ID: I20150204001349 |
| Provider Name | Jessica L Plauche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073832903 PECOS PAC ID: 1254644248 Enrollment ID: I20150720003113 |
| Provider Name | Kathryn M Mansuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164664165 PECOS PAC ID: 8123264058 Enrollment ID: I20150722006293 |
| Provider Name | Anand V Iyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154612885 PECOS PAC ID: 1052542339 Enrollment ID: I20150903002860 |
| Provider Name | Monique C James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184915902 PECOS PAC ID: 2961633250 Enrollment ID: I20150916002284 |
| Provider Name | Sarah E Crouch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366751745 PECOS PAC ID: 6901116904 Enrollment ID: I20151103002085 |
| Provider Name | Varendra Gosein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265639611 PECOS PAC ID: 6305146853 Enrollment ID: I20151204002356 |
| Provider Name | Clarissa M Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878151 PECOS PAC ID: 3870894181 Enrollment ID: I20151210001097 |
| Provider Name | Margo F Pumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114156254 PECOS PAC ID: 7012106594 Enrollment ID: I20151211000361 |
| Provider Name | Heather Warm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487920385 PECOS PAC ID: 5496058745 Enrollment ID: I20160121000413 |
| Provider Name | Christina Terese Gentile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154780161 PECOS PAC ID: 2567768906 Enrollment ID: I20160310000560 |
| Provider Name | Bibhav Acharya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306137427 PECOS PAC ID: 2860623568 Enrollment ID: I20160502001252 |
| Provider Name | Andrei M Kreutzberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639445364 PECOS PAC ID: 4789973744 Enrollment ID: I20160513000891 |
| Provider Name | Keith M Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295049674 PECOS PAC ID: 8527380625 Enrollment ID: I20160606001060 |
| Provider Name | Scott A Wilke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114283819 PECOS PAC ID: 2860789955 Enrollment ID: I20160916000936 |
| Provider Name | Brooke A Welch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962848986 PECOS PAC ID: 8820385321 Enrollment ID: I20160927002875 |
| Provider Name | Nadia C Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205102902 PECOS PAC ID: 5294013512 Enrollment ID: I20161020001336 |
| Provider Name | Farah Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760828990 PECOS PAC ID: 4284913203 Enrollment ID: I20161115002775 |
| Provider Name | Kathryn L Margolis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114272168 PECOS PAC ID: 7012138035 Enrollment ID: I20170103000113 |
| Provider Name | Andrea Denise Rosati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417299009 PECOS PAC ID: 0547549610 Enrollment ID: I20170609001864 |
| Provider Name | David Tompkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487790143 PECOS PAC ID: 5799859922 Enrollment ID: I20171109001745 |
| Provider Name | Jessica A Koenig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083050967 PECOS PAC ID: 4486952017 Enrollment ID: I20171115002887 |
| Provider Name | Stefana B Morgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649698101 PECOS PAC ID: 5395024467 Enrollment ID: I20171218002071 |
| Provider Name | John D Harbison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861422347 PECOS PAC ID: 1557796893 Enrollment ID: I20200116002071 |
| Provider Name | Lee Andrew Rawitscher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922176916 PECOS PAC ID: 4486089455 Enrollment ID: I20200121002512 |
| Provider Name | Christina Toutoungi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023404688 PECOS PAC ID: 5890062285 Enrollment ID: I20200313001608 |
| Provider Name | Lisa Fortuna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790733871 PECOS PAC ID: 2769526177 Enrollment ID: I20200317001997 |
| Provider Name | Alexander C Trope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841653573 PECOS PAC ID: 8729333182 Enrollment ID: I20200810000774 |
| Provider Name | Zara Szeftel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669797072 PECOS PAC ID: 4183978182 Enrollment ID: I20201001001221 |
| Provider Name | Margareth Vanessa Del Cid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740677756 PECOS PAC ID: 6608289046 Enrollment ID: I20210104002240 |
| Provider Name | Andrew Joe Man Halls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437573581 PECOS PAC ID: 1355694100 Enrollment ID: I20210923002837 |
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