Covered Entity Details

DSH050454AJ UCSF-MEDICAL CENTER (Terminated) - information as of 4/25/2025 6:36:39 PM

Main Details

Name

UCSF-MEDICAL CENTER

Subdivision Name

Clin Lab Central Processing

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH050454AJ

Medicare Provider Number

050454

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

5/17/2012

Participating Start Date

7/1/2012

Participating Approval Date

6/26/2012

Last Recertification Date

9/3/2015

Termination Date
Termination Reason

4/1/2016
Site closure

Contacts

Authorizing Official

UCSF Health
James Bennan, COO Community Hospital Division
(415) 503-8667

Primary Contact

Tony Davoren, Director of Finance
(415) 514-6013

Addresses

Street Address

1600 Divisadero St 2nd floor
San Francisco, CA 94115

Billing Address

UCSF-MEDICAL CENTER
505 PARNASSUS AVE. ROOM M39C
San Francisco, CA 94143

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
CA	HSP40454G

Shipping Addresses

Shipping Address 1

UCSF-MEDICAL CENTER
1600 DIVISADERO STREET ROOM A002
San Francisco, CA 94115

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH050454AA	Child	DSH	UCSF-MEDICAL CENTER	Cancer Ctr Infusion Unit	1600 Divisadero St	San Francisco	CA	Active
DSH050454AB	Child	DSH	UCSF-MEDICAL CENTER	Cancer Ctr-2nd Flr Common Exp	1600 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454AC	Child	DSH	UCSF-MEDICAL CENTER	Cancer Risk	2200 Post St	San Francisco	CA	Terminated
DSH050454AD	Child	DSH	UCSF-MEDICAL CENTER	Cardiovascular Care and Prevention Center	400 Parnassus Ave 5th floor	San Francisco	CA	Active
DSH050454AE	Child	DSH	UCSF-MEDICAL CENTER	Cardiology Faculty Pract	535 Mission Bay Blvd South	San Francisco	CA	Active
DSH050454AF	Child	DSH	UCSF-MEDICAL CENTER	Center for Pelvic Physiology	1825 4th Street	San Francisco	CA	Terminated
DSH050454AG	Child	DSH	UCSF-MEDICAL CENTER	Chest Clinic	400 Parnassus Ave 6th Floor	San Francisco	CA	Active
DSH050454AH	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Bone Marrow Prcs	1600 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454AJ	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Central Processing	1600 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454AK	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Central Processing	2330 Post St	San Francisco	CA	Terminated
DSH050454AL	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Central Processing	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454AM	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Cytogenics	1600 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454AN	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Cytogenics	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454AP	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Microbiology	1600 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454AQ	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab Microbiology	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454AR	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab-Chemistry	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454AS	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab-Immunology	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454AT	Child	DSH	UCSF-MEDICAL CENTER	Clin Labs-Pt of Care	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454AU	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab-Transfusion-Blood Bank	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454AV	Child	DSH	UCSF-MEDICAL CENTER	Clin Lab-Transfusion-Blood Bank	513 Parnassus Ave	San Francisco	CA	Terminated
DSH050454AW	Child	DSH	UCSF-MEDICAL CENTER	Colorectal Surgery Ctr	1825 4th Street	San Francisco	CA	Terminated
DSH050454AX	Child	DSH	UCSF-MEDICAL CENTER	Dermatology Consult	1701 Divisadero St 3rd floor	San Francisco	CA	Terminated
DSH050454AY	Child	DSH	UCSF-MEDICAL CENTER	Dermatology Clinic MZ	1701 Divisadero St 3rd floor	San Francisco	CA	Active
DSH050454AZ	Child	DSH	UCSF-MEDICAL CENTER	Dermatology Surg Clinic MZ	1701 Divisadero St 3rd floor	San Francisco	CA	Terminated
DSH050454BA	Child	DSH	UCSF-MEDICAL CENTER	Diabetes Clinic-ACC	400 Parnassus Ave 5th floor	San Francisco	CA	Active
DSH050454BB	Child	DSH	UCSF-MEDICAL CENTER	Diabetes Practice MZ	1600 Divisadero st, 5th Fl	San Francisco	CA	Active
DSH050454BC	Child	DSH	UCSF-MEDICAL CENTER	Diabetes Training Center	400 Parnassus Ave 5th floor	San Francisco	CA	Terminated
DSH050454BD	Child	DSH	UCSF-MEDICAL CENTER	Dialysis Chronic Care MZ	1675 Scott St	San Francisco	CA	Active
DSH050454BE	Child	DSH	UCSF-MEDICAL CENTER	Division of General Medicine	1545 Divisadero St 1st floor	San Francisco	CA	Terminated
DSH050454BF	Child	DSH	UCSF-MEDICAL CENTER	Division of General Medicine	1545 Divisadero St floors 1 & 2	San Francisco	CA	Active
DSH050454BG	Child	DSH	UCSF-MEDICAL CENTER	EEG/EMG	400 Parnassus Avenue	San Francisco	CA	Active
DSH050454BH	Child	DSH	UCSF-MEDICAL CENTER	Endocrine Metabolic FP ACC	400 Parnassus Ave 5th floor	San Francisco	CA	Active
DSH050454BJ	Child	DSH	UCSF-MEDICAL CENTER	Endocrine Practice MZ	1635 Divisadero St	San Francisco	CA	Terminated
DSH050454BK	Child	DSH	UCSF-MEDICAL CENTER	Endocrine Practice MZ	1600 Divisadero St., 5th Fl	San Francisco	CA	Active
DSH050454BL	Child	DSH	UCSF-MEDICAL CENTER	Endocrine Thyroid Cl ACC	400 Parnassus Ave 5th floor	San Francisco	CA	Terminated
DSH050454BM	Child	DSH	UCSF-MEDICAL CENTER	Executive Health Services	1500 Owens Street	San Francisco	CA	Active
DSH050454BN	Child	DSH	UCSF-MEDICAL CENTER	Eye Pathology	533 Parnassus Ave 5th floor	San Francisco	CA	Terminated
DSH050454BP	Child	DSH	UCSF-MEDICAL CENTER	Eye Photography	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454BQ	Child	DSH	UCSF-MEDICAL CENTER	Beckman Vision Center	490 Illinois St	San Francisco	CA	Terminated
DSH050454BR	Child	DSH	UCSF-MEDICAL CENTER	Comprehensive Ophthalmology & Optometry Clinic	490 Illinois St FL 3-4	San Francisco	CA	Active
DSH050454BS	Child	DSH	UCSF-MEDICAL CENTER	Facial Plastics- CC	2330 Post St 5th floor	San Francisco	CA	Terminated
DSH050454BT	Child	DSH	UCSF-MEDICAL CENTER	Family Med Lakeshore	1569 Sloat Blvd	San Francisco	CA	Active
DSH050454BU	Child	DSH	UCSF-MEDICAL CENTER	General Internal Medicine MZ	1701 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454BV	Child	DSH	UCSF-MEDICAL CENTER	General Internal Medicine MZ	1701 Divisadero Street	San Francisco	CA	Active
DSH050454BW	Child	DSH	UCSF-MEDICAL CENTER	General Medicine Clinic	2200 Post St	San Francisco	CA	Terminated
DSH050454BX	Child	DSH	UCSF-MEDICAL CENTER	General Pediatrics MZ	2330 Post St.	San Francisco	CA	Active
DSH050454BY	Child	DSH	UCSF-MEDICAL CENTER	GeriTraCCC	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454BZ	Child	DSH	UCSF-MEDICAL CENTER	GI / Liver Practice	350 Parnassus Ave	San Francisco	CA	Terminated
DSH050454CA	Child	DSH	UCSF-MEDICAL CENTER	GI Motility Function Laboratory	400 Parnassus Ave 6th floor	San Francisco	CA	Terminated
DSH050454CB	Child	DSH	UCSF-MEDICAL CENTER	Gynecolocgy Clinic FOGG	333 Gellert Blvd. STE 120	Daly City	CA	ToBeTerminated
DSH050454CC	Child	DSH	UCSF-MEDICAL CENTER	Head & Neck Surgery Clin MZ	2380 Sutter St 2nd floor	San Francisco	CA	Terminated
DSH050454CD	Child	DSH	UCSF-MEDICAL CENTER	Hematology Oncology Clinic	350 Parnassus Ave	San Francisco	CA	Terminated
DSH050454CE	Child	DSH	UCSF-MEDICAL CENTER	Hematology Oncology Clinic	400 Parnassus Ave	San Francisco	CA	Active
DSH050454CF	Child	DSH	UCSF-MEDICAL CENTER	Infectious Disease Clinic	400 Parnassus Ave	San Francisco	CA	Active
DSH050454CG	Child	DSH	UCSF-MEDICAL CENTER	Center for Geriatric Care	3575 Geary Boulevard	San Francisco	CA	Active
DSH050454CH	Child	DSH	UCSF-MEDICAL CENTER	Lipids Clinic	400 Parnassus Ave 5th floor	San Francisco	CA	Active
DSH050454CJ	Child	DSH	UCSF-MEDICAL CENTER	Magnetic Resonance Imaging/CT	1600 Divisadero St	San Francisco	CA	Active
DSH050454CK	Child	DSH	UCSF-MEDICAL CENTER	Radiology	2330 Post St	San Francisco	CA	Active
DSH050454CL	Child	DSH	UCSF-MEDICAL CENTER	Radiology-Diagnostic	400 Parnassus Ave	San Francisco	CA	Active
DSH050454CM	Child	DSH	UCSF-MEDICAL CENTER	Medicine Cardiology MZ	1600 Divisidero St., Ste. A212	San Francisco	CA	Terminated
DSH050454CN	Child	DSH	UCSF-MEDICAL CENTER	Medicine Gastroenterology MZ	1701 Divisadero St STE 120	San Francisco	CA	Active
DSH050454CP	Child	DSH	UCSF-MEDICAL CENTER	Kidney & Pancreas Transplant	400 Parnassus Ave	San Francisco	CA	Active
DSH050454CQ	Child	DSH	UCSF-MEDICAL CENTER	Medicine Occup Med Clinic MZ	2200 Post St	San Francisco	CA	Terminated
DSH050454CR	Child	DSH	UCSF-MEDICAL CENTER	Medicine Occupational Medicine	350 Parnassus Ave	San Francisco	CA	Terminated
DSH050454CS	Child	DSH	UCSF-MEDICAL CENTER	Migraine Center	2330 Post Street	San Francisco	CA	Active
DSH050454CT	Child	DSH	UCSF-MEDICAL CENTER	Neurology - Pediatric	1855 4TH ST	San Francisco	CA	Active
DSH050454CU	Child	DSH	UCSF-MEDICAL CENTER	Neurology-ALS Center	350 Parnassus Ave	San Francisco	CA	Terminated
DSH050454CV	Child	DSH	UCSF-MEDICAL CENTER	Neurodiagnostic Center	1651 4th Street, 2nd floor	San Francisco	CA	Terminated
DSH050454CW	Child	DSH	UCSF-MEDICAL CENTER	Multiple Sclerosis Center	1651 4th Street, 2nd floor	San Francisco	CA	Active
DSH050454CX	Child	DSH	UCSF-MEDICAL CENTER	Neurosurgery Oncology	400 Parnassus Ave	San Francisco	CA	Approved
DSH050454CY	Child	DSH	UCSF-MEDICAL CENTER	Neurosurgery Spine Svcs	400 Parnassus Ave FL 2	San Francisco	CA	Active
DSH050454CZ	Child	DSH	UCSF-MEDICAL CENTER	Neurosurgery-General	400 Parnassus Ave	San Francisco	CA	Active
DSH050454D	Child	DSH	UCSF-MEDICAL CENTER	360 Positive Care Ctr	350 Parnassus Ave, 9th floor	San Francisco	CA	Active
DSH050454DA	Child	DSH	UCSF-MEDICAL CENTER	Nuclear Med/PET China Basin	185 Berry St, Ste. 180	San Francisco	CA	Active
DSH050454DB	Child	DSH	UCSF-MEDICAL CENTER	Nuclear Medicine	1600 Divisadero St	San Francisco	CA	Terminated
DSH050454DC	Child	DSH	UCSF-MEDICAL CENTER	Nuclear Medicine	2200 Post St	San Francisco	CA	Terminated
DSH050454DD	Child	DSH	UCSF-MEDICAL CENTER	Center for Reproductive Health	499 Illinois Street	San Francisco	CA	ToBeTerminated
DSH050454DE	Child	DSH	UCSF-MEDICAL CENTER	Ob/Gyn CVS	1825 4th Street	San Francisco	CA	Terminated
DSH050454DF	Child	DSH	UCSF-MEDICAL CENTER	OBGYN MB	1500 Owens Street	San Francisco	CA	Active
DSH050454DG	Child	DSH	UCSF-MEDICAL CENTER	Ob/Gyn Faculty Practice MZ	2356 Sutter 6th floor	San Francisco	CA	Terminated
DSH050454DH	Child	DSH	UCSF-MEDICAL CENTER	OB/GYN Fertility	2356 Sutter	San Francisco	CA	Active
DSH050454DJ	Child	DSH	UCSF-MEDICAL CENTER	Ob/Gyn Women's Option Center	2356 Sutter Fls 5-8	San Francisco	CA	Active
DSH050454DK	Child	DSH	UCSF-MEDICAL CENTER	Obstetrics & Perinatal Medicine	1825 4th Street	San Francisco	CA	Terminated
DSH050454DL	Child	DSH	UCSF-MEDICAL CENTER	Operating Room /Ans MZ	1600 Divisadero St 3rd floor	San Francisco	CA	Active
DSH050454DM	Child	DSH	UCSF-MEDICAL CENTER	Ophthalmology-Refractive Surg	490 Illinois St	San Francisco	CA	Terminated
DSH050454DN	Child	DSH	UCSF-MEDICAL CENTER	Ophthalmology	490 Illinois St	San Francisco	CA	Terminated
DSH050454DP	Child	DSH	UCSF-MEDICAL CENTER	Ophthalmology-Resident	490 Illinois St	San Francisco	CA	Terminated
DSH050454DQ	Child	DSH	UCSF-MEDICAL CENTER	Ortho Inst Faculty Pract	1500 Owens St 1st floor	San Francisco	CA	Terminated
DSH050454DR	Child	DSH	UCSF-MEDICAL CENTER	Ortho Inst Faculty Pract	1500 Owens St 2nd floor	San Francisco	CA	Terminated
DSH050454DS	Child	DSH	UCSF-MEDICAL CENTER	Ortho Inst Operating Room	1500 Owens St 2nd floor	San Francisco	CA	Active
DSH050454DT	Child	DSH	UCSF-MEDICAL CENTER	Ortho Inst PACU	1500 Owens St 2nd floor	San Francisco	CA	Terminated
DSH050454DU	Child	DSH	UCSF-MEDICAL CENTER	Orthopaedic Institute - Skeletal Health - Sport	1500 Owens St 1st floor	San Francisco	CA	Active
DSH050454DV	Child	DSH	UCSF-MEDICAL CENTER	Orthopaedic Institute	1500 Owens St 4th floor	San Francisco	CA	Active
DSH050454DW	Child	DSH	UCSF-MEDICAL CENTER	Orthosurgery Faculty Practice	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454DX	Child	DSH	UCSF-MEDICAL CENTER	Pediatrics Surgical Specialties: Orthopedics	1825 4th Street	San Francisco	CA	Active
DSH050454DY	Child	DSH	UCSF-MEDICAL CENTER	Osher Ctr for Intergr Med	1545 Divisadero St 4th floor	San Francisco	CA	Active
DSH050454DZ	Child	DSH	UCSF-MEDICAL CENTER	Osteoporosis Practice MZ	2200 Post St	San Francisco	CA	Terminated
DSH050454E	Child	DSH	UCSF-MEDICAL CENTER	ACC Blood Draw	1600 Divisadero St	San Francisco	CA	Terminated
DSH050454EA	Child	DSH	UCSF-MEDICAL CENTER	Otolaryngo Cochlear Imp	2380 Sutter St	San Francisco	CA	Active
DSH050454EB	Child	DSH	UCSF-MEDICAL CENTER	Otolaryngology Faculty Practice	2380 Sutter St 3rd floor	San Francisco	CA	Active
DSH050454EC	Child	DSH	UCSF-MEDICAL CENTER	Otolaryngology Voice Ctr	2330 Post St 5th floor	San Francisco	CA	Active
DSH050454ED	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Heart MB	1825 4th Street	San Francisco	CA	Terminated
DSH050454EE	Child	DSH	UCSF-MEDICAL CENTER	Pain Management Center MZ	2255 Post St	San Francisco	CA	Active
DSH050454EF	Child	DSH	UCSF-MEDICAL CENTER	Pathology	1600 Divisadero St 6th floor	San Francisco	CA	Terminated
DSH050454EG	Child	DSH	UCSF-MEDICAL CENTER	Pathology Molecular Lab	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454EH	Child	DSH	UCSF-MEDICAL CENTER	Pathology Surgical Histology	1600 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454EJ	Child	DSH	UCSF-MEDICAL CENTER	Ped Acute Care Clinic	1825 4th Street	San Francisco	CA	Terminated
DSH050454EK	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Infusion Center	1825 4th Street	San Francisco	CA	Terminated
DSH050454EL	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Echocardiograph	1825 4th Street	San Francisco	CA	Active
DSH050454EM	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Otolaryngology	1825 4th Street	San Francisco	CA	Active
DSH050454EN	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Primary Ped Clinic	1825 4th Street	San Francisco	CA	Terminated
DSH050454EP	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Renal Dialysis Center	1825 4th Street	San Francisco	CA	Terminated
DSH050454EQ	Child	DSH	UCSF-MEDICAL CENTER	Madison Clinic for Pediatric Diabetes	1500 Owens Street, 3rd Floor	San Francisco	CA	Active
DSH050454ER	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Specialties Clinic	1825 4th Street	San Francisco	CA	Terminated
DSH050454ES	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Specialty Marin	1300 S. Eliseo Dr.	Greenbrae	CA	Active
DSH050454ET	Child	DSH	UCSF-MEDICAL CENTER	Periop Endoscopy MZ	1600 Divisadero St	San Francisco	CA	Terminated
DSH050454EU	Child	DSH	UCSF-MEDICAL CENTER	Physical Therapy Prof Prac	2200 Post St 2nd floor	San Francisco	CA	Terminated
DSH050454EV	Child	DSH	UCSF-MEDICAL CENTER	Physical Therapy Prof Prac MZ	1500 Owens St, Fls 2 and 4	San Francisco	CA	Terminated
DSH050454EW	Child	DSH	UCSF-MEDICAL CENTER	Post Anes Cr-Preop MZ	1600 Divisadero St 3rd floor	San Francisco	CA	Active
DSH050454EX	Child	DSH	UCSF-MEDICAL CENTER	Psoriasis Day Care Unit	515 Spruce St	San Francisco	CA	Terminated
DSH050454EY	Child	DSH	UCSF-MEDICAL CENTER	Pulmonary Function Svcs MZ	2330 Post St 4th floor	San Francisco	CA	Active
DSH050454EZ	Child	DSH	UCSF-MEDICAL CENTER	Radiation Oncology	1600 Divisadero St FLs 2-4 & HB066	San Francisco	CA	Active
DSH050454F	Child	DSH	UCSF-MEDICAL CENTER	ACC Blood Draw	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454FA	Child	DSH	UCSF-MEDICAL CENTER	Radiology China Bas MR/CT	185 Berry St 1st floor	San Francisco	CA	Terminated
DSH050454FB	Child	DSH	UCSF-MEDICAL CENTER	Bone Marrow Transplant Program	185 Berry St 2nd floor	San Francisco	CA	Terminated
DSH050454FC	Child	DSH	UCSF-MEDICAL CENTER	Radiology China Bas MR/CT	185 Berry St 3rd floor	San Francisco	CA	Terminated
DSH050454FD	Child	DSH	UCSF-MEDICAL CENTER	Radiology Clinic Diagnostic	2200 Post St	San Francisco	CA	Terminated
DSH050454FE	Child	DSH	UCSF-MEDICAL CENTER	Radiology Clinic Diagnostic	400 Parnassus Ave	San Francisco	CA	Active
DSH050454FF	Child	DSH	UCSF-MEDICAL CENTER	Radiology Clinic Mammography	1600 Divisadero St	San Francisco	CA	Terminated
DSH050454FG	Child	DSH	UCSF-MEDICAL CENTER	Radiology Clinic Mammography	1701 Divisadero St	San Francisco	CA	Terminated
DSH050454FH	Child	DSH	UCSF-MEDICAL CENTER	Radiology Clinic Mammography	2356 Sutter	San Francisco	CA	Active
DSH050454FJ	Child	DSH	UCSF-MEDICAL CENTER	Radiology Clinics	400 Parnassus Ave	San Francisco	CA	Active
DSH050454FK	Child	DSH	UCSF-MEDICAL CENTER	Radiology-Diagnostic	1600 Divisadero St	San Francisco	CA	Terminated
DSH050454FL	Child	DSH	UCSF-MEDICAL CENTER	Behavorial Medicine Services	1825 4th Street	San Francisco	CA	Terminated
DSH050454FM	Child	DSH	UCSF-MEDICAL CENTER	Radiology-Interventional	1600 Divisadero St STE A-219	San Francisco	CA	Active
DSH050454FN	Child	DSH	UCSF-MEDICAL CENTER	Radiology-Ortho Institute	1500 Owens St 1st floor	San Francisco	CA	Terminated
DSH050454FP	Child	DSH	UCSF-MEDICAL CENTER	Radiology-Ortho Institute	1500 Owens St Fl 1-2	San Francisco	CA	Active
DSH050454FQ	Child	DSH	UCSF-MEDICAL CENTER	Rehab Svcs-Outpatient	500 Parnassus Ave MU 09	San Francisco	CA	Active
DSH050454FR	Child	DSH	UCSF-MEDICAL CENTER	Renal Clinic	400 Parnassus Ave	San Francisco	CA	Active
DSH050454FS	Child	DSH	UCSF-MEDICAL CENTER	Respiratory Care Services	505 Parnassus Ave	San Francisco	CA	Terminated
DSH050454FT	Child	DSH	UCSF-MEDICAL CENTER	Rheumatology Clinic	400 Parnassus Ave	San Francisco	CA	Active
DSH050454FU	Child	DSH	UCSF-MEDICAL CENTER	Santa Rosa Clinic	100 Brookwood Ave.	Santa Rosa	CA	Terminated
DSH050454FV	Child	DSH	UCSF-MEDICAL CENTER	Screening & Acute Care Clinic	400 Parnassus Ave	San Francisco	CA	Active
DSH050454FW	Child	DSH	UCSF-MEDICAL CENTER	Sleep Disorder Center MZ	1800 Sutter St 8th floor	San Francisco	CA	Terminated
DSH050454FX	Child	DSH	UCSF-MEDICAL CENTER	Sleep Disorder Center MZ	2330 Post St 4th floor	San Francisco	CA	Active
DSH050454FY	Child	DSH	UCSF-MEDICAL CENTER	SOM Anesthesia	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454FZ	Child	DSH	UCSF-MEDICAL CENTER	Ortho-Ped MB	1825 4th Street	San Francisco	CA	Terminated
DSH050454G	Child	DSH	UCSF-MEDICAL CENTER	Adult & Ped Electrocard	1600 Divisadero St 2nd floor	San Francisco	CA	Terminated
DSH050454GA	Child	DSH	UCSF-MEDICAL CENTER	Surgery Adult Cardio-Thoracic	500 Parnassus Ave 4th floor	San Francisco	CA	Terminated
DSH050454GB	Child	DSH	UCSF-MEDICAL CENTER	Surgery General	400 Parnassus Ave 2nd floor	San Francisco	CA	Active
DSH050454GC	Child	DSH	UCSF-MEDICAL CENTER	Surgery General	400 Parnassus Ave 6th floor	San Francisco	CA	Terminated
DSH050454GD	Child	DSH	UCSF-MEDICAL CENTER	Hepatology / Surgery Liver	400 Parnassus Ave	San Francisco	CA	Active
DSH050454GE	Child	DSH	UCSF-MEDICAL CENTER	Surgery Plastic / Reconstructive	350 Parnassus Ave 5th floor	San Francisco	CA	Active
DSH050454GF	Child	DSH	UCSF-MEDICAL CENTER	Surgical Movement Disordr	1651 4th Street, 2nd Fl	San Francisco	CA	Active
DSH050454GG	Child	DSH	UCSF-MEDICAL CENTER	Surg-Vascular Svcs	400 Parnassus Ave 5th floor	San Francisco	CA	Active
DSH050454GH	Child	DSH	UCSF-MEDICAL CENTER	Transfusion Service	400 Parnassus Ave	San Francisco	CA	Active
DSH050454GJ	Child	DSH	UCSF-MEDICAL CENTER	UCSF Primary Care	3490 California St	San Francisco	CA	Active
DSH050454GK	Child	DSH	UCSF-MEDICAL CENTER	Ultrasonography	1600 Divisadero St	San Francisco	CA	Terminated
DSH050454GL	Child	DSH	UCSF-MEDICAL CENTER	Ultrasonography	2356 Sutter	San Francisco	CA	Active
DSH050454GM	Child	DSH	UCSF-MEDICAL CENTER	Ultrasonography	490 Illinois St	San Francisco	CA	Terminated
DSH050454GN	Child	DSH	UCSF-MEDICAL CENTER	Urology Faculty Practice	400 Parnassus Ave 6th floor	San Francisco	CA	Terminated
DSH050454GP	Child	DSH	UCSF-MEDICAL CENTER	Urology Procedures Center	400 Parnassus Ave 6th floor	San Francisco	CA	Active
DSH050454GQ	Child	DSH	UCSF-MEDICAL CENTER	Women's Health Resource Ctr	2356 Sutter 7th floor	San Francisco	CA	Terminated
DSH050454GR	Child	DSH	UCSF-MEDICAL CENTER	Women's Hlth Primary Care	2356 Sutter 4th floor	San Francisco	CA	Active
DSH050454GS	Child	DSH	UCSF-MEDICAL CENTER	Young Women's Program MZ	2356 Sutter Street	San Francisco	CA	Active
DSH050454GT	Child	DSH	UCSF-MEDICAL CENTER	Radiology China Basin MRI/CT Scan	185 Berry St	San Francisco	CA	ToBeTerminated
DSH050454GU	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Renal Dialysis Center	1825 4th St, 5th Floor	San Francisco	CA	Active
DSH050454GV	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Interventional Cardiology	1975 4th St, 2nd Floor	San Francisco	CA	Active
DSH050454GW	Child	DSH	UCSF-MEDICAL CENTER	GYN(gyn-onc and genetics)	100 Brookwood Ave	Santa Rosa	CA	ToBeTerminated
DSH050454GX	Child	DSH	UCSF-MEDICAL CENTER	NEURO PSYCH MB	1500 Owens Street	San Francisco	CA	Terminated
DSH050454GY	Child	DSH	UCSF-MEDICAL CENTER	PED ORTHO SURG MB	1500 OWENS STREET	San Francisco	CA	Active
DSH050454GZ	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center: Dysplasia Clinic	2356 Sutter St. 7th Fl	San Francisco	CA	Active
DSH050454H	Child	DSH	UCSF-MEDICAL CENTER	Adult Echocardiography	1600 Divisadero St 2nd floor	San Francisco	CA	Active
DSH050454HA	Child	DSH	UCSF-MEDICAL CENTER	Mammography	1600 Divisadero FL 2 STE H2906	San Francisco	CA	ToBeTerminated
DSH050454HB	Child	DSH	UCSF-MEDICAL CENTER	GYNECOLOGY ONCOLOGY MZ	1600 DIVISADERO	San Francisco	CA	Active
DSH050454HC	Child	DSH	UCSF-MEDICAL CENTER	PSYCHIATRY ONCOLOGY MZ	1600 DIVISADERO FL 2-4	San Francisco	CA	Active
DSH050454HD	Child	DSH	UCSF-MEDICAL CENTER	ADULT SLEEP LAB MZ	1600 Divisadero Avenue	San Francisco	CA	Active
DSH050454HE	Child	DSH	UCSF-MEDICAL CENTER	PED GENETICS MZ	1701 DIVISADERO ST STE 300	San Francisco	CA	ToBeTerminated
DSH050454HF	Child	DSH	UCSF-MEDICAL CENTER	Women's imaging	1725 Montgomery	San Francisco	CA	Active
DSH050454HG	Child	DSH	UCSF-MEDICAL CENTER	Cardiovascular Nuclear Medicine	555 Mission Bay South	San Francisco	CA	Active
DSH050454HH	Child	DSH	UCSF-MEDICAL CENTER	Womens Health PrimCare Montgomery	1725 Montgomery	San Francisco	CA	Terminated
DSH050454HJ	Child	DSH	UCSF-MEDICAL CENTER	MB RADIOLOGY-DIAGNOSTIC	1725 Montgomery	San Francisco	CA	Terminated
DSH050454HK	Child	DSH	UCSF-MEDICAL CENTER	Radiology-Womens Imaging Montgomery St.	1725 Montgomery	San Francisco	CA	Terminated
DSH050454HL	Child	DSH	UCSF-MEDICAL CENTER	PEDIATRIC BEHAVIOR PSY MB	1825 4th St	San Francisco	CA	Active
DSH050454HM	Child	DSH	UCSF-MEDICAL CENTER	PEDIATRIC HEART CENTER MB	1825 4th St	San Francisco	CA	Active
DSH050454HN	Child	DSH	UCSF-MEDICAL CENTER	PED IMMUNOLOGY MB	1825 4th St	San Francisco	CA	Active
DSH050454HP	Child	DSH	UCSF-MEDICAL CENTER	PEDIATRICS-INTEGRATIVE PAIN CLINIC MB	1825 4TH ST	San Francisco	CA	Active
DSH050454HQ	Child	DSH	UCSF-MEDICAL CENTER	CARDIOLOGY MB	1825 4TH ST	San Francisco	CA	Active
DSH050454HR	Child	DSH	UCSF-MEDICAL CENTER	PEDIATRIC FETAL ECHO MB	1825 4th St	San Francisco	CA	ToBeTerminated
DSH050454HS	Child	DSH	UCSF-MEDICAL CENTER	MEMORY WEILL	1651 4th Street, 2nd floor	San Francisco	CA	Active
DSH050454HT	Child	DSH	UCSF-MEDICAL CENTER	PED SLEEP LAB/PULMONARY	1600 Divisadero Avenue	San Francisco	CA	Terminated
DSH050454HU	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Sleep Lab	1600 Divisadero	San Francisco	CA	Active
DSH050454HV	Child	DSH	UCSF-MEDICAL CENTER	General Medicine and Symptom Management MZ	1600 DIVISADERO	San Francisco	CA	Active
DSH050454HW	Child	DSH	UCSF-MEDICAL CENTER	PSYCHOLOGY ONC MZ CC4	1600 DIVISADERO 4TH FL	San Francisco	CA	Terminated
DSH050454HX	Child	DSH	UCSF-MEDICAL CENTER	CARD GENETICS MB	535 Mission Bay Blvd South	San Francisco	CA	Active
DSH050454HY	Child	DSH	UCSF-MEDICAL CENTER	Anal Neoplasia Clinic: Research and Education	1701 Divisadero	San Francisco	CA	Terminated
DSH050454HZ	Child	DSH	UCSF-MEDICAL CENTER	DERM SPR DAY CARE	515 Spruce Street	San Francisco	CA	Active
DSH050454J	Child	DSH	UCSF-MEDICAL CENTER	Adult Neurology Clinic	400 Parnassus Ave Floors 2, 8 & B	San Francisco	CA	Terminated
DSH050454JA	Child	DSH	UCSF-MEDICAL CENTER	PED ALLERGY MB	1825 4th St	San Francisco	CA	Active
DSH050454JB	Child	DSH	UCSF-MEDICAL CENTER	PED OBESITY MB	1825 4th St	San Francisco	CA	Active
DSH050454JC	Child	DSH	UCSF-MEDICAL CENTER	PED ENDO MB	1825 4th St	San Francisco	CA	Active
DSH050454JD	Child	DSH	UCSF-MEDICAL CENTER	PED CARD STRESS LAB MB	1825 4th St	San Francisco	CA	Terminated
DSH050454JE	Child	DSH	UCSF-MEDICAL CENTER	PED DIALYSIS MB	1825 4th St	San Francisco	CA	Terminated
DSH050454JF	Child	DSH	UCSF-MEDICAL CENTER	PED PRIM NEONAT MB	1825 4th St	San Francisco	CA	Active
DSH050454JG	Child	DSH	UCSF-MEDICAL CENTER	PED RHEUMATOLOGY MB	1825 4th St	San Francisco	CA	Active
DSH050454JH	Child	DSH	UCSF-MEDICAL CENTER	PED HEM MB	1825 4th St	San Francisco	CA	Active
DSH050454JJ	Child	DSH	UCSF-MEDICAL CENTER	PED ONCOLOGY MB	1825 4th St	San Francisco	CA	Active
DSH050454JK	Child	DSH	UCSF-MEDICAL CENTER	PED INFECTIOUS DISEASE MB	1825 4th St	San Francisco	CA	Terminated
DSH050454JL	Child	DSH	UCSF-MEDICAL CENTER	PED BONE MARROW TRANSPLANT MB	1825 4th St	San Francisco	CA	Active
DSH050454JM	Child	DSH	UCSF-MEDICAL CENTER	PED PULMONARY MB	1825 4th St	San Francisco	CA	Active
DSH050454JN	Child	DSH	UCSF-MEDICAL CENTER	PED REHAB-SPINA BIFIDA MB	1825 4th St	San Francisco	CA	Terminated
DSH050454JP	Child	DSH	UCSF-MEDICAL CENTER	PED GENETICS MB	1825 4th St	San Francisco	CA	Active
DSH050454JQ	Child	DSH	UCSF-MEDICAL CENTER	PED PULM HYPERTENSION MB	1825 4th St	San Francisco	CA	Terminated
DSH050454JR	Child	DSH	UCSF-MEDICAL CENTER	Center for Craniofacial Anomalies	1825 4th Street	San Francisco	CA	Active
DSH050454JS	Child	DSH	UCSF-MEDICAL CENTER	PBC EPILEPSY MB	1825 4th St	San Francisco	CA	ToBeTerminated
DSH050454JT	Child	DSH	UCSF-MEDICAL CENTER	PBC NEUROLOGY MB	1825 4th Street	San Francisco	CA	Active
DSH050454JU	Child	DSH	UCSF-MEDICAL CENTER	PBC NEUROSURGERY MB	1825 4th St	San Francisco	CA	Active
DSH050454JV	Child	DSH	UCSF-MEDICAL CENTER	SOM Pediatric Urology-Faculty Practice	1825 4th Street	San Francisco	CA	Active
DSH050454JW	Child	DSH	UCSF-MEDICAL CENTER	PED ANES PAIN MGMT MB	1825 4th St	San Francisco	CA	Terminated
DSH050454JX	Child	DSH	UCSF-MEDICAL CENTER	GI Med Onc MB	1825 4th Street	San Francisco	CA	Active
DSH050454JY	Child	DSH	UCSF-MEDICAL CENTER	SYMPTOM MANAGEMENT MB	1825 4th St	San Francisco	CA	Active
DSH050454JZ	Child	DSH	UCSF-MEDICAL CENTER	SARCOMA/THORACIC SURG ONC MB	1825 4th St	San Francisco	CA	Terminated
DSH050454K	Child	DSH	UCSF-MEDICAL CENTER	Pain Management Parn	400 Parnassus Ave	San Francisco	CA	ToBeTerminated
DSH050454KA	Child	DSH	UCSF-MEDICAL CENTER	PSYCHIATRY ONC MB	1825 4th St	San Francisco	CA	Terminated
DSH050454KB	Child	DSH	UCSF-MEDICAL CENTER	RADIOLOGY OP MB	1825 4TH ST	San Francisco	CA	Active
DSH050454KC	Child	DSH	UCSF-MEDICAL CENTER	PSYCHOLOGY ONC MB	1825 4th St	San Francisco	CA	Active
DSH050454KD	Child	DSH	UCSF-MEDICAL CENTER	PED CT SURGERY MB	1825 4th St	San Francisco	CA	Active
DSH050454KE	Child	DSH	UCSF-MEDICAL CENTER	PED RENAL MB	1825 4th St	San Francisco	CA	Active
DSH050454KF	Child	DSH	UCSF-MEDICAL CENTER	PED SURG MB	1825 4th St	San Francisco	CA	Active
DSH050454KG	Child	DSH	UCSF-MEDICAL CENTER	MALE REPRO HEALTH MB	499 Illinois St	San Francisco	CA	Terminated
DSH050454KH	Child	DSH	UCSF-MEDICAL CENTER	PED PLASTICS SURG MB	1825 4th St	San Francisco	CA	Active
DSH050454KJ	Child	DSH	UCSF-MEDICAL CENTER	COLORECTAL SURG MB	1825 4th St	San Francisco	CA	Active
DSH050454KK	Child	DSH	UCSF-MEDICAL CENTER	PED ADOL MED MB FLU	1825 4th St	San Francisco	CA	Terminated
DSH050454KL	Child	DSH	UCSF-MEDICAL CENTER	ANTENATAL MB	1825 4th St	San Francisco	CA	Active
DSH050454KM	Child	DSH	UCSF-MEDICAL CENTER	OB MISSION BAY	1825 4th St	San Francisco	CA	Active
DSH050454KN	Child	DSH	UCSF-MEDICAL CENTER	LIVER TR LVG DNR PARN	400 PARNASSUS AVENUE	San Francisco	CA	ToBeTerminated
DSH050454KP	Child	DSH	UCSF-MEDICAL CENTER	Prenatal Diagnostic center	1825 4th Street	San Francisco	CA	Active
DSH050454KQ	Child	DSH	UCSF-MEDICAL CENTER	RAD ULTRASOUND OPB MB	1825 4th St	San Francisco	CA	Terminated
DSH050454KR	Child	DSH	UCSF-MEDICAL CENTER	RAD ULTRASOUND MB	1975 4th St	San Francisco	CA	Terminated
DSH050454KS	Child	DSH	UCSF-MEDICAL CENTER	RAD ONC MB	1825 4th St	San Francisco	CA	Active
DSH050454KT	Child	DSH	UCSF-MEDICAL CENTER	NUEROLOGY EEG MB	1825 4th St	San Francisco	CA	Terminated
DSH050454KU	Child	DSH	UCSF-MEDICAL CENTER	SURGERY WELLNESS MB	1825 4th St	San Francisco	CA	Terminated
DSH050454KV	Child	DSH	UCSF-MEDICAL CENTER	GERIATRIC MEDICINE	185 BERRY ST LBBY 2	San Francisco	CA	Terminated
DSH050454KW	Child	DSH	UCSF-MEDICAL CENTER	PED GI MB	1825 4th St	San Francisco	CA	Active
DSH050454KX	Child	DSH	UCSF-MEDICAL CENTER	OPHTH PED MB	1825 4th St., 5th Fl	San Francisco	CA	Active
DSH050454KY	Child	DSH	UCSF-MEDICAL CENTER	ORTHO PED MB	1825 4th St	San Francisco	CA	Terminated
DSH050454KZ	Child	DSH	UCSF-MEDICAL CENTER	OHNS COCHLEAR IMPLANT MB	1825 4th St	San Francisco	CA	ToBeTerminated
DSH050454L	Child	DSH	UCSF-MEDICAL CENTER	Allergy Clinic	400 Parnassus Ave, Ste. 2100	San Francisco	CA	Active
DSH050454LA	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Otolaryngology	1825 4th street	San Francisco	CA	Terminated
DSH050454LB	Child	DSH	UCSF-MEDICAL CENTER	PATH CYTOLOGY MB	1825 4th St	San Francisco	CA	Terminated
DSH050454LC	Child	DSH	UCSF-MEDICAL CENTER	PATH SURGICAL MB	1825 4th St	San Francisco	CA	Terminated
DSH050454LD	Child	DSH	UCSF-MEDICAL CENTER	EEG / EMG MB	1825 4th St	San Francisco	CA	Active
DSH050454LE	Child	DSH	UCSF-MEDICAL CENTER	PED DEV MED MZ	2330 POST STREET	San Francisco	CA	Terminated
DSH050454LF	Child	DSH	UCSF-MEDICAL CENTER	SURG PEDI ONC MB-BIL	1975 4th St	San Francisco	CA	Terminated
DSH050454LG	Child	DSH	UCSF-MEDICAL CENTER	SURG PED RHEUMATOLOGY MB-BIL	1975 4th St	San Francisco	CA	Terminated
DSH050454LH	Child	DSH	UCSF-MEDICAL CENTER	MB Pediatric Stress Testing	1825 4th Street	San Francisco	CA	Terminated
DSH050454LJ	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center: Ortho surg oncology	1825 4th Street	San Francisco	CA	Terminated
DSH050454LK	Child	DSH	UCSF-MEDICAL CENTER	Cancer center:Urologic Surgical Oncology	1825 4th Street	San Francisco	CA	Terminated
DSH050454LL	Child	DSH	UCSF-MEDICAL CENTER	Cancer center: GI Surgical Oncology	1825 4th Street	San Francisco	CA	Terminated
DSH050454LM	Child	DSH	UCSF-MEDICAL CENTER	Cancer center:Symptom management	1825 4th Street	San Francisco	CA	Terminated
DSH050454LN	Child	DSH	UCSF-MEDICAL CENTER	Cancer center: GYN Surgery & Oncology	1825 4th Street	San Francisco	CA	Active
DSH050454LP	Child	DSH	UCSF-MEDICAL CENTER	Cancer center: GU Medical Oncology	1825 4th Street	San Francisco	CA	Terminated
DSH050454LQ	Child	DSH	UCSF-MEDICAL CENTER	MB Audiology Clinic	1825 4th Street	San Francisco	CA	Active
DSH050454LR	Child	DSH	UCSF-MEDICAL CENTER	Cancer Genetics MB	1825 4th Street	San Francisco	CA	Active
DSH050454LS	Child	DSH	UCSF-MEDICAL CENTER	Teen Clinic	1825 4th street	San Francisco	CA	Terminated
DSH050454LT	Child	DSH	UCSF-MEDICAL CENTER	GI Surgical Onc MB	1825 4th Street	San Francisco	CA	Active
DSH050454LU	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Med Specialties: Adolescent medicine	1825 4th street	San Francisco	CA	Active
DSH050454LV	Child	DSH	UCSF-MEDICAL CENTER	Ortho Surg Onc MB	1825 4th Street	San Francisco	CA	Active
DSH050454LW	Child	DSH	UCSF-MEDICAL CENTER	GU Med Onc MB	1825 4th Street	San Francisco	CA	Active
DSH050454LX	Child	DSH	UCSF-MEDICAL CENTER	Urologic Surg Onc MB	1825 4th Street	San Francisco	CA	Active
DSH050454LY	Child	DSH	UCSF-MEDICAL CENTER	OB/GYN: Gynecological surgical specialties	1825 4th Street	San Francisco	CA	Terminated
DSH050454LZ	Child	DSH	UCSF-MEDICAL CENTER	MB Radiation Oncology	1825 4th Street	San Francisco	CA	Terminated
DSH050454M	Child	DSH	UCSF-MEDICAL CENTER	Ambulatory Surg Ctr-OR	1600 Divisadero Street	San Francisco	CA	Terminated
DSH050454MA	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Brain Center: Pedi Multiple Sclerosis	1825 4th street	San Francisco	CA	ToBeTerminated
DSH050454MB	Child	DSH	UCSF-MEDICAL CENTER	Pelvic Physiology MB	1825 4th Street	San Francisco	CA	Active
DSH050454MC	Child	DSH	UCSF-MEDICAL CENTER	Head and Neck Surg MB	1825 4th Street	San Francisco	CA	Active
DSH050454MD	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Renal Dialysis Center	1825 4th Street	San Francisco	CA	Terminated
DSH050454ME	Child	DSH	UCSF-MEDICAL CENTER	MB Pediatric Dermatology Clinic	1825 4th Street	San Francisco	CA	Active
DSH050454MF	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Pulmonary Function Services	1825 4th Street	San Francisco	CA	Active
DSH050454MG	Child	DSH	UCSF-MEDICAL CENTER	Rehabilitative Services-Outpatient Pediatrics	1825 4th Street	San Francisco	CA	Terminated
DSH050454MH	Child	DSH	UCSF-MEDICAL CENTER	NEURO SPINE CB	185 BERRY ST LOBBY 6 SUITE 180	San Francisco	CA	ToBeTerminated
DSH050454MJ	Child	DSH	UCSF-MEDICAL CENTER	PED FETAL ECHO MB	1855 4th St	San Francisco	CA	Active
DSH050454MK	Child	DSH	UCSF-MEDICAL CENTER	PED CARDIAC CATH MB	1975 4th St	San Francisco	CA	Terminated
DSH050454ML	Child	DSH	UCSF-MEDICAL CENTER	NEONATOLOGY OP CONSULTS MB	1975 4TH ST	San Francisco	CA	Active
DSH050454MM	Child	DSH	UCSF-MEDICAL CENTER	SURG URO PEDS MB-BIL	1975 4th St	San Francisco	CA	Terminated
DSH050454MN	Child	DSH	UCSF-MEDICAL CENTER	SURG URO ONC MB-BIL	1975 4th St	San Francisco	CA	Terminated
DSH050454MP	Child	DSH	UCSF-MEDICAL CENTER	RADIOLOGY DIAGNOSTIC MB	1975 4th St	San Francisco	CA	Active
DSH050454MQ	Child	DSH	UCSF-MEDICAL CENTER	LABOR AND DELIVERY TRIAGE MB	1975 4th St	San Francisco	CA	Terminated
DSH050454MR	Child	DSH	UCSF-MEDICAL CENTER	RAD NUCLEAR MED MB	1975 4th St	San Francisco	CA	Active
DSH050454MS	Child	DSH	UCSF-MEDICAL CENTER	RAD CT/MRI MB	1975 4th St	San Francisco	CA	Active
DSH050454MT	Child	DSH	UCSF-MEDICAL CENTER	EMERGENCY DEPARTMENT MB	1975 4th St	San Francisco	CA	Active
DSH050454MU	Child	DSH	UCSF-MEDICAL CENTER	MB PACU	1825 4th Street	San Francisco	CA	Active
DSH050454MV	Child	DSH	UCSF-MEDICAL CENTER	MB Endoscopy	1975 4th Street	San Francisco	CA	Terminated
DSH050454MW	Child	DSH	UCSF-MEDICAL CENTER	SOM Pediatrics-Bone Marrow Transplant OP	1975 4th Street	San Francisco	CA	Terminated
DSH050454MX	Child	DSH	UCSF-MEDICAL CENTER	MB Operating Room	1975 4th Street	San Francisco	CA	ToBeTerminated
DSH050454MY	Child	DSH	UCSF-MEDICAL CENTER	SCLERODERMA CENTER PARN	400 Parnassus Ave.	San Francisco	CA	Active
DSH050454MZ	Child	DSH	UCSF-MEDICAL CENTER	OP HEPATOLOGY	350 PARNASSUS AVE	San Francisco	CA	Terminated
DSH050454N	Child	DSH	UCSF-MEDICAL CENTER	General Acute Care and Intensive Care	1600 Divisadero Street	San Francisco	CA	Active
DSH050454NA	Child	DSH	UCSF-MEDICAL CENTER	MB Anesthesia/Periop	1975 4th Street	San Francisco	CA	ToBeTerminated
DSH050454NB	Child	DSH	UCSF-MEDICAL CENTER	MB Interventional Radiology	1975 4th Street	San Francisco	CA	Active
DSH050454NC	Child	DSH	UCSF-MEDICAL CENTER	MB Ultrasonography	1975 4th Street	San Francisco	CA	Active
DSH050454ND	Child	DSH	UCSF-MEDICAL CENTER	MB Nuclear Medicine and PET	1975 4th Street	San Francisco	CA	Terminated
DSH050454NE	Child	DSH	UCSF-MEDICAL CENTER	Respiratory Care-Pediatrics	1975 4th Street	San Francisco	CA	Terminated
DSH050454NF	Child	DSH	UCSF-MEDICAL CENTER	Rehabilitative Services MB	1975 4th Street, 5th Floor	San Francisco	CA	ToBeTerminated
DSH050454NG	Child	DSH	UCSF-MEDICAL CENTER	PED ACUTE CARE MZ	2330 POST ST FL 3	San Francisco	CA	Terminated
DSH050454NH	Child	DSH	UCSF-MEDICAL CENTER	Womens Health Primary Care	2356 SUTTER 3RD FL	San Francisco	CA	Active
DSH050454NJ	Child	DSH	UCSF-MEDICAL CENTER	CARD WOMENS HEALTH	2356 SUTTER ST 3RD FLOOR	San Francisco	CA	ToBeTerminated
DSH050454NK	Child	DSH	UCSF-MEDICAL CENTER	Gastroenterology Practice	350 Parnassus	San Francisco	CA	Terminated
DSH050454NL	Child	DSH	UCSF-MEDICAL CENTER	Neurovascular service	400 Parnassus	San Francisco	CA	Active
DSH050454NM	Child	DSH	UCSF-MEDICAL CENTER	Heart/Lung Transplant Practice	400 Parnassus	San Francisco	CA	Terminated
DSH050454NN	Child	DSH	UCSF-MEDICAL CENTER	ID NEURO PARN	400 PARNASSUS AVE	San Francisco	CA	Terminated
DSH050454NP	Child	DSH	UCSF-MEDICAL CENTER	REPRO ENDO & INFERTILITY MB	499 Illinois St	San Francisco	CA	Active
DSH050454NQ	Child	DSH	UCSF-MEDICAL CENTER	23 Hour Unit	1600 Divisadero Street	San Francisco	CA	Terminated
DSH050454NR	Child	DSH	UCSF-MEDICAL CENTER	Adult Acute Care MB	1855 4th St, 2nd Floor	San Francisco	CA	Terminated
DSH050454NS	Child	DSH	UCSF-MEDICAL CENTER	Adult Echocardiography	400 PARNASSUS AVE STE 501	San Francisco	CA	Active
DSH050454NT	Child	DSH	UCSF-MEDICAL CENTER	Adult Electrocardiography / Adult Electrocardiography	400 PARNASSUS AVE STE 501	San Francisco	CA	Active
DSH050454NU	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center / Cancer Treatment	1600 DIVISADERO	San Francisco	CA	Active
DSH050454NV	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center / Dysplasia	1701 DIVISADERO, 1st Floor	San Francisco	CA	ToBeTerminated
DSH050454NW	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center / Thoracic Surgery	400 PARNASSUS AVE STE 501	San Francisco	CA	ToBeTerminated
DSH050454NX	Child	DSH	UCSF-MEDICAL CENTER	China Basin / Dermatology	185 BERRY ST STE 130	San Francisco	CA	Terminated
DSH050454NY	Child	DSH	UCSF-MEDICAL CENTER	Immunotherapy Parnassus	400 PARNASSUS AVE 4TH FL	San Francisco	CA	Active
DSH050454NZ	Child	DSH	UCSF-MEDICAL CENTER	Investigational Therapeutics	1600 DIVISADERO STREET, Room A663	San Francisco	CA	Terminated
DSH050454P	Child	DSH	UCSF-MEDICAL CENTER	Antenatal Testing Center	1825 4th Street	San Francisco	CA	Active
DSH050454PA	Child	DSH	UCSF-MEDICAL CENTER	Neuro-Spine Svcs	400 PARNASSUS AVE, 8TH FL	San Francisco	CA	Active
DSH050454PB	Child	DSH	UCSF-MEDICAL CENTER	Peds Gastroenterology	1825 4th Street, 2nd Floor	San Francisco	CA	ToBeTerminated
DSH050454PC	Child	DSH	UCSF-MEDICAL CENTER	Peds Rehab / Spina Bifida	1500 Owens Street	San Francisco	CA	Terminated
DSH050454PD	Child	DSH	UCSF-MEDICAL CENTER	Surgery-Vascular	535 Mission Bay Blvd South	San Francisco	CA	ToBeTerminated
DSH050454PE	Child	DSH	UCSF-MEDICAL CENTER	Sarcoma Surgery MB	1825 4th St.	San Francisco	CA	Active
DSH050454PF	Child	DSH	UCSF-MEDICAL CENTER	Teen Clinic	2330 POST ST STE 219	San Francisco	CA	Terminated
DSH050454PG	Child	DSH	UCSF-MEDICAL CENTER	Otolaryngology-FP	400 Parnassus Avenue, 1st Floor	San Francisco	CA	ToBeTerminated
DSH050454PH	Child	DSH	UCSF-MEDICAL CENTER	Dermatology Clinic MZ	1701 DIVISADERO ST 4TH FLOOR MOB-2	San Francisco	CA	Active
DSH050454PJ	Child	DSH	UCSF-MEDICAL CENTER	OBGYN FP	2356 Sutter Street, 7th Flr	San Francisco	CA	Terminated
DSH050454PK	Child	DSH	UCSF-MEDICAL CENTER	OBGYN FP	2356 Sutter Street, 5th Floor	San Francisco	CA	Terminated
DSH050454PL	Child	DSH	UCSF-MEDICAL CENTER	Neurosurgery-General	1635 Divisadero St, Ste 200	San Francisco	CA	Terminated
DSH050454PM	Child	DSH	UCSF-MEDICAL CENTER	Neurosurgery-General / Neurosurgery-General	1635 DIVISADERO St, Suite 520	San Francisco	CA	Terminated
DSH050454PN	Child	DSH	UCSF-MEDICAL CENTER	Rehab Services MZ	1600 Divisadero Street	San Francisco	CA	ToBeTerminated
DSH050454PP	Child	DSH	UCSF-MEDICAL CENTER	OBGYN - Women's Health	1975 4th Street, 3rd Fl	San Francisco	CA	Terminated
DSH050454PQ	Child	DSH	UCSF-MEDICAL CENTER	Perfusion Services MZ	1600 Divisadero Street	San Francisco	CA	Terminated
DSH050454PR	Child	DSH	UCSF-MEDICAL CENTER	Perfusion Services MB	1855 4th Street, 2nd Floor	San Francisco	CA	Terminated
DSH050454PS	Child	DSH	UCSF-MEDICAL CENTER	ADULT INFUSION WEILL	1651 4th Street, 3rd floor	San Francisco	CA	Active
DSH050454PT	Child	DSH	UCSF-MEDICAL CENTER	PED Genomic MB	1500 Owens Street, Ste. 360	San Francisco	CA	Active
DSH050454PU	Child	DSH	UCSF-MEDICAL CENTER	PED Genomic MZ	2330 Post Street, Ste. 219	San Francisco	CA	Terminated
DSH050454PV	Child	DSH	UCSF-MEDICAL CENTER	Peds Brain Cntr - EMG MB	1825 4th Street, 6th Floor	San Francisco	CA	Terminated
DSH050454PW	Child	DSH	UCSF-MEDICAL CENTER	Peds Brain Cntr - Neuromusc MB	1825 4th Street, 6th Floor	San Francisco	CA	ToBeTerminated
DSH050454PX	Child	DSH	UCSF-MEDICAL CENTER	Podiatry PCS MZ - Podiatry	1545 Divisadero St., 1st Fl	San Francisco	CA	Active
DSH050454PY	Child	DSH	UCSF-MEDICAL CENTER	PED Pulmonary MZ	2330 Post St., Fls 2-3	San Francisco	CA	ToBeTerminated
DSH050454PZ	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center GYN Oncology Santa Rosa - Cancer Center GYN Oncology Santa Rosa	100 Brookwood Ave	Santa Rosa	CA	Terminated
DSH050454Q	Child	DSH	UCSF-MEDICAL CENTER	Anticoagulation Clinic	400 Parnassus Avenue FL 3	San Francisco	CA	Active
DSH050454QA	Child	DSH	UCSF-MEDICAL CENTER	Pediatric Primary Care at MB - Pediatric Primary Care at MB	1825 4TH ST Fls 4 & 6	San Francisco	CA	Active
DSH050454QB	Child	DSH	UCSF-MEDICAL CENTER	Osher Cntr Integrative Medicine - Osher Cntr Integrative Medicine	1825 4TH ST. Fls 1; 3-6	San Francisco	CA	Active
DSH050454QC	Child	DSH	UCSF-MEDICAL CENTER	PED GI MZ - PED GI MZ	2330 Post St., Ste. 219	San Francisco	CA	ToBeTerminated
DSH050454QD	Child	DSH	UCSF-MEDICAL CENTER	REHAB PT WH	2356 SUTTER Street	San Francisco	CA	Active
DSH050454QE	Child	DSH	UCSF-MEDICAL CENTER	UCSF Primary Care China Basin - UCSF Primary Care China Basin	185 BERRY STREET, SUITE 130	San Francisco	CA	Active
DSH050454QF	Child	DSH	UCSF-MEDICAL CENTER	SOM Radiology-HIFU	185 Berry Street Ste. 190	San Francisco	CA	Active
DSH050454QG	Child	DSH	UCSF-MEDICAL CENTER	Cardiology Daniel Burnham Court - Cardiology Daniel Burnham Court	1 DANIEL BURNHAM CT STE 260	San Francisco	CA	Active
DSH050454QH	Child	DSH	UCSF-MEDICAL CENTER	PED Hematology Marin - PED Hematology Marin	1300 S Eliseo Dr., Ste. 204	Greenbrae	CA	Active
DSH050454QJ	Child	DSH	UCSF-MEDICAL CENTER	PED Renal Marin	1300 S Eliseo Dr., Ste. 204	Greenbrae	CA	Active
DSH050454QK	Child	DSH	UCSF-MEDICAL CENTER	Breast Cancer Program	1825 4TH STREET	San Francisco	CA	Active
DSH050454QL	Child	DSH	UCSF-MEDICAL CENTER	REHAB PT MZ	1600 Divisadero Street	San Francisco	CA	Terminated
DSH050454QM	Child	DSH	UCSF-MEDICAL CENTER	REHAB PT MZ DGIM	1545 DIVISADERO ST	San Francisco	CA	Terminated
DSH050454QN	Child	DSH	UCSF-MEDICAL CENTER	REHAB PT FP MZ	2655 BUSH ST	San Francisco	CA	Active
DSH050454QP	Child	DSH	UCSF-MEDICAL CENTER	Peds-Gastroenterology - Peds-Gastroenterology	1500 OWENS ST STE 300	San Francisco	CA	Active
DSH050454QQ	Child	DSH	UCSF-MEDICAL CENTER	Adult Electrocardiography	1825 4TH ST FL 4	San Francisco	CA	Terminated
DSH050454QR	Child	DSH	UCSF-MEDICAL CENTER	Rehabilitative Services PT MZ	400 Parnassus Ave Fl 2, 6, 8 & B1	San Francisco	CA	Active
DSH050454QS	Child	DSH	UCSF-MEDICAL CENTER	Neurosurg Onc Survivorship	400 Parnassus Ave., 8th Floor	San Francisco	CA	Active
DSH050454QT	Child	DSH	UCSF-MEDICAL CENTER	Melanoma Treatment Cntr MZ - Cancer Center	1701 Divisadero 4th floor	San Francisco	CA	Active
DSH050454QU	Child	DSH	UCSF-MEDICAL CENTER	Montgomery Acute Care - Montgomery Acute Care	1725 Montgomery Street, FL 2	San Francisco	CA	Terminated
DSH050454QV	Child	DSH	UCSF-MEDICAL CENTER	Breast Plastic Surg MB - Breast Plastic Surg MB	1825 4th Street	San Francisco	CA	Terminated
DSH050454QW	Child	DSH	UCSF-MEDICAL CENTER	Symptom Management Parn - Symptom Management Parn	400 Parnassus Ave.	San Francisco	CA	Active
DSH050454QX	Child	DSH	UCSF-MEDICAL CENTER	Hospital Medicine - Hospital Medicine	400 Parnassus Ave.	San Francisco	CA	Active
DSH050454QY	Child	DSH	UCSF-MEDICAL CENTER	Palliative Care MZ	1635 Divisadero St. Ste. 520	San Francisco	CA	ToBeTerminated
DSH050454QZ	Child	DSH	UCSF-MEDICAL CENTER	Head & Neck Medical Oncology MZ - Head & Neck Medical Oncology MZ	1600 Divisadero 3rd Floor	San Francisco	CA	Terminated
DSH050454R	Child	DSH	UCSF-MEDICAL CENTER	Audiology Clinic	2330 Post St 2nd floor	San Francisco	CA	Active
DSH050454RA	Child	DSH	UCSF-MEDICAL CENTER	Integrated Spine Service Pain MZ - Integrated Spine Service Pain MZ	2655 Bush Street, Ste., C1	San Francisco	CA	Terminated
DSH050454RB	Child	DSH	UCSF-MEDICAL CENTER	Integrated Spine Service Pain Mgmt	400 Parnassus Ave. Fl 2	San Francisco	CA	Terminated
DSH050454RC	Child	DSH	UCSF-MEDICAL CENTER	Investigational Therapy MB - Investigational Therapy MB	1825 4th Street	San Francisco	CA	Terminated
DSH050454RD	Child	DSH	UCSF-MEDICAL CENTER	PSYCHO ONCOLOGY PARN - PSYCHO ONCOLOGY PARN	400 PARNASSUS AVE FL 4	San Francisco	CA	ToBeTerminated
DSH050454RE	Child	DSH	UCSF-MEDICAL CENTER	Cancer Cntr-Dysplasia - Cancer Cntr-Dysplasia	1600 DIVISADERO, FL 3	San Francisco	CA	Active
DSH050454RF	Child	DSH	UCSF-MEDICAL CENTER	UCSF Prim Care C.B. Waterfront - China Basin Primary Care	185 Berry Street., Suite 1000	San Francisco	CA	Terminated
DSH050454RG	Child	DSH	UCSF-MEDICAL CENTER	Cancer Genetics MB - Cancer Genetics MB	1825 4th Street, Flrs 3-6	San Francisco	CA	Active
DSH050454RH	Child	DSH	UCSF-MEDICAL CENTER	PED SLEEP LAB MB - PED SLEEP LAB MB	1825 4TH ST	SAN FRANCISCO	CA	ToBeTerminated
DSH050454RJ	Child	DSH	UCSF-MEDICAL CENTER	BREAST SURG ONC MZ	1600 DIVISADERO FL 2-4	SAN FRANCISCO	CA	Active
DSH050454RK	Child	DSH	UCSF-MEDICAL CENTER	RADIOLOGY PCMB	1825 4TH ST	SAN FRANCISCO	CA	Active
DSH050454RL	Child	DSH	UCSF-MEDICAL CENTER	Precision Cancer Medicine Building - Card Onc	1825 4TH ST FLS 3-6	San Francisco	CA	Terminated
DSH050454RM	Child	DSH	UCSF-MEDICAL CENTER	PERIOP ENDO MB	1855 4TH ST	SAN FRANCISCO	CA	Active
DSH050454RN	Child	DSH	UCSF-MEDICAL CENTER	LIVER PEDIATRIC SURGERY MB	1825 4TH ST FL 4	SAN FRANCISCO	CA	Active
DSH050454RP	Child	DSH	UCSF-MEDICAL CENTER	Precision Cancer Medicine Building - Pain Management	1825 4TH ST FLS 3-6	San Francisco	CA	Terminated
DSH050454RQ	Child	DSH	UCSF-MEDICAL CENTER	Benioff - Rehab PT	1825 4TH ST Floors 3 & 5	San Francisco	CA	Active
DSH050454RR	Child	DSH	UCSF-MEDICAL CENTER	Precision Cancer Medicine Building - Breast Med and Surg Onc	1825 4TH ST FLS 3-6	San Francisco	CA	Active
DSH050454RS	Child	DSH	UCSF-MEDICAL CENTER	Parn - Rehab PT Rheum	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454RT	Child	DSH	UCSF-MEDICAL CENTER	Benioff - Oral Dysplasia	1825 4TH ST 5th Fl	San Francisco	CA	Active
DSH050454RU	Child	DSH	UCSF-MEDICAL CENTER	Parn - PED Cardiology Genetics	400 PARNASSUS AVE., 2ND FL	San Francisco	CA	Terminated
DSH050454RV	Child	DSH	UCSF-MEDICAL CENTER	Mt. Zion - Survivor Wellness	1600 Divisadero ST FL 4	San Francisco	CA	Terminated
DSH050454RW	Child	DSH	UCSF-MEDICAL CENTER	Parn - PED Obesity	400 PARNASSUS AVE	San Francisco	CA	Terminated
DSH050454RX	Child	DSH	UCSF-MEDICAL CENTER	Parn - PED Prim Neonatal	400 PARNASSUS AVE FL 4	San Francisco	CA	Terminated
DSH050454RY	Child	DSH	UCSF-MEDICAL CENTER	Parn - PED Rehab Spina Bifida	400 PARNASSUS AVE 2ND FL	San Francisco	CA	Terminated
DSH050454RZ	Child	DSH	UCSF-MEDICAL CENTER	Parn - Dermatology	400 PARNASSUS AVE	San Francisco	CA	Terminated
DSH050454S	Child	DSH	UCSF-MEDICAL CENTER	Audiology Clinic	2380 Sutter St	San Francisco	CA	Terminated
DSH050454SA	Child	DSH	UCSF-MEDICAL CENTER	Benioff - Immunotherapy	1825 4TH ST 5th Fl	San Francisco	CA	Active
DSH050454SB	Child	DSH	UCSF-MEDICAL CENTER	Benioff - Fetal Treatment Center	1855 4th St, 2nd Floor	San Francisco	CA	Active
DSH050454SC	Child	DSH	UCSF-MEDICAL CENTER	Mt. Zion - Respiratory Care	1600 Divisadero, 2nd Fl	San Francisco	CA	Terminated
DSH050454SD	Child	DSH	UCSF-MEDICAL CENTER	Parn - Ophth Optom Vision	500 PARNASSUS AVE SUITE MU1	San Francisco	CA	Active
DSH050454SE	Child	DSH	UCSF-MEDICAL CENTER	Parn - Card Genetics	400 PARNASSUS AVE, STE 501	San Francisco	CA	ToBeTerminated
DSH050454SF	Child	DSH	UCSF-MEDICAL CENTER	Precision Cancer Medicine Building - Melanoma Center MB	1825 4TH ST FLS 3-6	San Francisco	CA	Active
DSH050454SG	Child	DSH	UCSF-MEDICAL CENTER	Montogomery Clinic - PED Fetal Echo	1725 Montgomery St., STE 250	San Francisco	CA	ToBeTerminated
DSH050454SH	Child	DSH	UCSF-MEDICAL CENTER	Parn - Intestinal Rehab	400 Parnassus Ave 3rd floor	San Francisco	CA	Terminated
DSH050454SJ	Child	DSH	UCSF-MEDICAL CENTER	Precision Cancer Medical Building - Neuro Onc	1825 4TH ST FLS 3-6	San Francisco	CA	Terminated
DSH050454SK	Child	DSH	UCSF-MEDICAL CENTER	Parn - PED MS Behavioral Psychology	400 PARNASSUS AVE. 8TH FLR	San Francisco	CA	Terminated
DSH050454SL	Child	DSH	UCSF-MEDICAL CENTER	Benioff - Rehab Mission Bay	1975 4th St, 1st Floor	San Francisco	CA	Active
DSH050454SM	Child	DSH	UCSF-MEDICAL CENTER	Parn - Fetal Treatment Center	400 Parnassus Ave, A-123	San Francisco	CA	Terminated
DSH050454SN	Child	DSH	UCSF-MEDICAL CENTER	Mt. Zion - Cancer Risk CC4	1600 DIVISADERO 4TH FLR	San Francisco	CA	Terminated
DSH050454SP	Child	DSH	UCSF-MEDICAL CENTER	Parn - Liver Donor	350 Parnassus Ave 8th Fl	San Francisco	CA	ToBeTerminated
DSH050454SQ	Child	DSH	UCSF-MEDICAL CENTER	Parnassus - Ophthalmology ACC	400 PARNASSUS, 6TH FL	San Francisco	CA	Active
DSH050454SR	Child	DSH	UCSF-MEDICAL CENTER	Mount Zion - Colorectal Surgery	1600 Divisadero Bldg H FL 4	San Francisco	CA	Active
DSH050454SS	Child	DSH	UCSF-MEDICAL CENTER	UCSF - Women's Care	1725 Montgomery FL 2	San Francisco	CA	Active
DSH050454ST	Child	DSH	UCSF-MEDICAL CENTER	UCSF Medical Center - Neuro Weill	1651 4th St., Fls 1-2	San Francisco	CA	Active
DSH050454SU	Child	DSH	UCSF-MEDICAL CENTER	UCSF Medical Center - Screen Acute Care MZ	1600 Divisadero St., FL 2	San Francisco	CA	Terminated
DSH050454SV	Child	DSH	UCSF-MEDICAL CENTER	UCSF MEDICAL CENTER - Behavioral Health Pritzker	675 18TH ST FL 2-4	SAN FRANCISCO	CA	Active
DSH050454SW	Child	DSH	UCSF-MEDICAL CENTER	UCSF Medical Center - PED DEV MED PRITZKER	675 18TH ST 2ND FLOOR	San Francisco	CA	Active
DSH050454SX	Child	DSH	UCSF-MEDICAL CENTER	Wound & Ostomy Clinic - Wound & Ostomy Clinic	1825 4TH ST	San Francisco	CA	Approved
DSH050454T	Child	DSH	UCSF-MEDICAL CENTER	General Medicine Behavorial Health	1701 Divisadero Street	San Francisco	CA	ToBeTerminated
DSH050454U	Child	DSH	UCSF-MEDICAL CENTER	Blood Products - Donor Ctr	500 Parnassus Ave	San Francisco	CA	ToBeTerminated
DSH050454V	Child	DSH	UCSF-MEDICAL CENTER	Hematology: Blood & Marrow Transplant Clinic	400 Parnassus Ave	San Francisco	CA	Terminated
DSH050454W	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center Shumate 2	2380 Sutter St	San Francisco	CA	Terminated
DSH050454X	Child	DSH	UCSF-MEDICAL CENTER	Melanoma Treatment Center	1600 Divisadero St FL 2-3	San Francisco	CA	Active
DSH050454Y	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center MB	1825 4th Street	San Francisco	CA	Active
DSH050454Z	Child	DSH	UCSF-MEDICAL CENTER	Cancer Center-Uro Surgery	1600 Divisadero St 3rd floor	San Francisco	CA	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Bennan, James COO Community Hospital Division UCSF Medical Center 4155038667	Bennan, James COO Community Hospital Division UCSF Health 4155038667	1/14/2025 8:42 AM
Contacts	Authorizing Official	Update	Profile Change Request	Bennan, James VP/COO Adult Services UCSF Medical Center 4153534647	Bennan, James COO Community Hospital Division UCSF Medical Center 4155038667	1/13/2025 5:53 PM
Contacts	Authorizing Official	Update	AO Change Request	Antrum, Sheila SVP-AdultSvcs/President-MedCtr UCSF Medical Center 4153532717	Bennan, James VP/COO Adult Services UCSF Medical Center 4153534647	8/22/2018 12:11 PM
Contacts	Authorizing Official	Update		Antrum, Sheila SVP-AdultSvcs/President-MedCtr 4153532717	Antrum, Sheila SVP-AdultSvcs/President-MedCtr UCSF Medical Center 4153532717	9/20/2017 2:26 PM
Contacts	Authorizing Official	Update		LARET, MARK CEO 4153532733	Antrum, Sheila SVP-AdultSvcs/President-MedCtr 4153532717	9/11/2017 3:29 PM
Contacts	Authorizing Official	Insert			LARET, MARK CEO 4153532733	7/27/2017 2:11 PM
Contacts	Signed By	Insert			LARET, MARK CEO 4153532733	7/27/2017 2:11 PM
Contacts	Primary Contact	Insert			Davoren, Tony Director of Finance 4155146013	2/28/2017 6:27 PM
Addresses	Main Address	Insert			1600 Divisadero St 2nd floor San Francisco, CA 94115	1/15/2016 2:44 PM
Addresses	Billing Address	Insert			UCSF-MEDICAL CENTER 505 PARNASSUS AVE. ROOM M39C San Francisco, CA 94143	1/15/2016 2:44 PM
Addresses	Shipping Address	Insert			UCSF-MEDICAL CENTER 1600 DIVISADERO STREET ROOM A002 San Francisco, CA 94115	1/15/2016 2:44 PM
Dates	Last Date That 340B Drugs Purchased	Update			1/1/2016 12:00:00 AM	1/15/2016 2:44 PM
Details	State	Update		Active	Terminated	1/15/2016 2:44 PM
Terminations	Termination Date	Update			4/1/2016 12:00:00 AM	1/15/2016 2:44 PM
Terminations	Termination Effective Date	Update			1/1/2016 12:00:00 AM	1/15/2016 2:44 PM
Terminations	Termination Reason	Update			Site closure	1/15/2016 2:44 PM
Details	Last Recertification Date	Update		9/8/2014 12:00:00 AM	9/3/2015 12:00:00 AM	9/3/2015 12:58 PM
Details	Last Recertification Date	Update		9/13/2013 12:00:00 AM	9/8/2014 12:00:00 AM	9/8/2014 1:32 PM
Details	Last Recertification Date	Update			9/13/2013 12:00:00 AM	9/13/2013 3:28 PM
Details	340B ID	Update		IS-JH-DSH050454AJ	DSH050454AJ	6/26/2012 9:52 AM
Dates	Participating Approval Date	Update			6/26/2012 12:00:00 AM	6/26/2012 9:52 AM
Details	State	Update		Pending	Active	6/26/2012 9:52 AM
Dates	Start Date	Update			7/1/2012 12:00:00 AM	6/26/2012 9:52 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG	IS-JH-DSH050454AJ	6/7/2012 7:27 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	5/17/2012 11:41 AM
Medicaid Billing	Medicaid: Number	Insert			HSP40454G	5/17/2012 11:41 AM
Medicaid Billing	Medicaid: State	Insert			CA	5/17/2012 11:41 AM
Details	Last Recertification Date	Insert				5/17/2012 11:41 AM
Details	Grant Number	Insert				5/17/2012 11:41 AM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	5/17/2012 11:41 AM
Details	Is Authorizing Official EHB Data	Insert				5/17/2012 11:41 AM
Dates	Last Date That 340B Drugs Purchased	Insert				5/17/2012 11:41 AM
Details	Medicare Provider Number	Insert			050454	5/17/2012 11:41 AM
Details	Entity Name	Insert			UCSF-MEDICAL CENTER	5/17/2012 11:41 AM
Details	Program Code	Insert			DSH	5/17/2012 11:41 AM
Details	Entity Subname	Insert			Clin Lab Central Processing	5/17/2012 11:41 AM
Dates	Participating Approval Date	Insert				5/17/2012 11:41 AM
Details	State	Insert			Pending	5/17/2012 11:41 AM
Dates	Registration Date	Insert			5/17/2012 12:00:00 AM	5/17/2012 11:41 AM
Dates	Signed By Date	Insert			5/17/2012 12:00:00 AM	5/17/2012 11:41 AM
Dates	Start Date	Insert				5/17/2012 11:41 AM
Terminations	Termination Comments	Insert				5/17/2012 11:41 AM
Terminations	Termination Date	Insert				5/17/2012 11:41 AM
Terminations	Termination Effective Date	Insert				5/17/2012 11:41 AM
Terminations	Termination Reason	Insert				5/17/2012 11:41 AM