Covered Entity Details

DSH050454DN UCSF-MEDICAL CENTER (Terminated) - information as of 6/21/2025 12:06:21 AM

Main Details

Name

UCSF-MEDICAL CENTER

Subdivision Name

Ophthalmology

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH050454DN

Medicare Provider Number

050454

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

1/9/2018

Participating Start Date

4/1/2018

Participating Approval Date

1/16/2018

Last Recertification Date

8/23/2023

Termination Date
Termination Reason

10/1/2024
Business decision by the Covered Entity

Contacts

Authorizing Official

UCSF
Angelie Gaweco, CFO
(415) 928-9900

Primary Contact

UCSF Medical Center
Raechel Hahn, 340B Analyst
(510) 736-7335

Addresses

Street Address

490 Illinois St
San Francisco, CA 94158

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
Participating from effective date (7/1/2012), until terminated effective (1/1/2018), reinstatement effective date (04/01/18)	01/16/2018

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	1689772592,1639278369

Shipping Addresses

Shipping Address 1

UCSF-MEDICAL CENTER
1975 4th St
Room C4411
San Francisco, CA 94158

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 CENTER FOR INTEGRATIVE MEDICINE	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	UCSF Balance and Falls Center	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	ToBeTerminated
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	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	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	1825 4TH ST	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	PALLIATIVE CARE CLINIC	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
Details	State	Update		To Be Terminated	Terminated	10/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		7/9/2024 12:00:00 AM	7/10/2024 1:10 PM
Details	State	Update	Termination Request	Active	To Be Terminated	7/10/2024 1:10 PM
Terminations	Termination Date	Update	Termination Request		10/1/2024 12:00:00 AM	7/10/2024 1:10 PM
Terminations	Termination Effective Date	Update	Termination Request		7/9/2024 12:00:00 AM	7/10/2024 1:10 PM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	7/10/2024 1:10 PM
Contacts	Authorizing Official	Update	AO Change Request	Iyer, Raju Cfo UCSF Medical Center 4085146118	Gaweco, Angelie CFO UCSF 4159289900	1/18/2024 9:38 AM
Contacts	Authorizing Official	Update	AO Change Request	Bennan, James VP/COO Adult Services UCSF Medical Center 4153534647	Iyer, Raju Cfo UCSF Medical Center 4085146118	12/19/2023 7:44 AM
Contacts	Primary Contact	Update	Group Change Request	Hubbard, Kayla 340B Program Coordinator UCSF Health 8083395697	Hahn, Raechel 340B Analyst UCSF Medical Center 5107367335	11/29/2023 2:06 PM
Details	Last Recertification Date	Update	Recertification	9/7/2022 3:31:49 PM	8/23/2023 6:45:15 PM	8/23/2023 6:45 PM
Details	Last Recertification Date	Update	Recertification	8/18/2021 3:02:48 PM	9/7/2022 3:31:49 PM	9/7/2022 3:31 PM
Contacts	Primary Contact	Update	Profile Change Request	Hubbard, Kayla 340B Senior Analyst UCSF Health 8083395697	Hubbard, Kayla 340B Program Coordinator UCSF Health 8083395697	7/11/2022 2:00 PM
Contacts	Primary Contact	Update	Group Change Request	Hubbard, Kayla 340B System Wide Coordinator UCSF Health 8083395697	Hubbard, Kayla 340B Senior Analyst UCSF Health 8083395697	6/21/2022 5:40 PM
Contacts	Primary Contact	Update	Profile Change Request	Hubbard, Kayla 340B Senior Analyst UCSF Health 8083395697	Hubbard, Kayla 340B System Wide Coordinator UCSF Health 8083395697	6/21/2022 5:40 PM
Contacts	Primary Contact	Update	Profile Change Request	Mitchell, Kayla 340B Senior Analyst UCSF Health 4153534056	Hubbard, Kayla 340B Senior Analyst UCSF Health 8083395697	10/7/2021 7:22 AM
Details	Last Recertification Date	Update	Recertification	8/24/2020 3:17:03 PM	8/18/2021 3:02:48 PM	8/18/2021 3:02 PM
Addresses	Shipping Address	Delete	Change Request	UCSF-MEDICAL CENTER 505 PARNASSUS AVE. ROOM M39C San Francisco, CA 94143		11/20/2020 12:53 PM
Addresses	Shipping Address	Insert	Change Request		UCSF-MEDICAL CENTER 1975 4th St Room C4411 San Francisco, CA 94158	11/20/2020 12:53 PM
Addresses	Main Address	Update	Change Request	400 Parnassus Ave 6th floor San Francisco, CA 94143	490 Illinois St San Francisco, CA 94158	11/20/2020 12:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1689772592	8/24/2020 3:17 PM
Medicaid Billing	NPI: State	Insert	Recertification		CA	8/24/2020 3:17 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1639278369	8/24/2020 3:17 PM
Medicaid Billing	NPI: State	Insert	Recertification		CA	8/24/2020 3:17 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1639278369 ( )		8/24/2020 3:17 PM
Details	Last Recertification Date	Update	Recertification	8/20/2019 3:15:28 PM	8/24/2020 3:17:03 PM	8/24/2020 3:17 PM
Details	Entity Subname	Update	Change Request	Ophthalmology-Resident	Ophthalmology	4/13/2020 7:04 AM
Contacts	Primary Contact	Update	Change Request	Hunt, Amy 340B Manager UCSF Medical Center 4155148398	Mitchell, Kayla 340B Senior Analyst UCSF Health 4153534056	2/7/2020 10:39 AM
Addresses	Main Address	Update	Change Request	400 Parnassus Ave 7th floor San Francisco, CA 94143	400 Parnassus Ave 6th floor San Francisco, CA 94143	11/7/2019 9:07 AM
Details	Last Recertification Date	Update	Recertification	8/17/2018 11:42:00 AM	8/20/2019 3:15:28 PM	8/20/2019 3:15 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
Details	Last Recertification Date	Update	Recertification	8/19/2016 12:00:00 AM	8/17/2018 11:42:00 AM	8/17/2018 11:42 AM
Terminations	Termination Reason	Update		Business decision by the Covered Entity		7/21/2018 12:21 PM
Details	State	Update		Approved	Active	4/1/2018 12:00 AM
Addresses	Billing Address	Insert	Reinstatement		UCSF-MEDICAL CENTER 505 PARNASSUS AVE. ROOM M39C San Francisco, CA 94143	1/16/2018 10:29 AM
Contacts	Signed By	Update	Reinstatement	Laret, Mark CEO 4153538063	Antrum, Sheila SVP-AdultSvcs/President-MedCtr UCSF Medical Center 4153532717	1/16/2018 10:29 AM
Dates	Participating Approval Date	Update	Reinstatement		1/16/2018 10:29:14 AM	1/16/2018 10:29 AM
Details	State	Update	Reinstatement	Pending	Approved	1/16/2018 10:29 AM
Dates	Signed By Date	Update	Reinstatement	5/17/2012 12:00:00 AM	1/9/2018 3:39:17 PM	1/16/2018 10:29 AM
Dates	Start Date	Update	Reinstatement		4/1/2018 12:00:00 AM	1/16/2018 10:29 AM
Terminations	Termination Reason	Update	Reinstatement		Business decision by the Covered Entity	1/16/2018 10:29 AM
Details	Comments Public	Insert	Reinstatement		Participating from effective date (7/1/2012), until terminated effective (1/1/2018), reinstatement effective date (04/01/18)	1/16/2018 9:09 AM
Medicaid Billing	NPI: Number	Insert	Reinstatement		1639278369	1/9/2018 2:07 PM
Dates	Last Date That 340B Drugs Purchased	Update	Reinstatement	11/8/2017 12:00:00 AM		1/9/2018 2:07 PM
Dates	Participating Approval Date	Update	Reinstatement	6/26/2012 12:00:00 AM		1/9/2018 2:07 PM
Details	State	Update	Reinstatement	Terminated	Pending	1/9/2018 2:07 PM
Dates	Registration Date	Update	Reinstatement	5/17/2012 12:00:00 AM	1/9/2018 2:07:12 PM	1/9/2018 2:07 PM
Dates	Start Date	Update	Reinstatement	7/1/2012 12:00:00 AM		1/9/2018 2:07 PM
Terminations	Termination Date	Update	Reinstatement	1/1/2018 12:00:00 AM		1/9/2018 2:07 PM
Terminations	Termination Effective Date	Update	Reinstatement	11/8/2017 12:00:00 AM		1/9/2018 2:07 PM
Terminations	Termination Reason	Update	Reinstatement	Business decision by the Covered Entity		1/9/2018 2:07 PM
Details	State	Update		To Be Terminated	Terminated	1/1/2018 12:00 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		11/8/2017 12:00:00 AM	11/8/2017 2:37 PM
Details	State	Update	Recertification	Active	To Be Terminated	11/8/2017 2:37 PM
Terminations	Termination Date	Update	Recertification		1/1/2018 12:00:00 AM	11/8/2017 2:37 PM
Terminations	Termination Effective Date	Update	Recertification		11/8/2017 12:00:00 AM	11/8/2017 2:37 PM
Terminations	Termination Reason	Update	Recertification		Business decision by the Covered Entity	11/8/2017 2:37 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	Primary Contact	Update		Hunt, Amy 340B Manager 4155148398	Hunt, Amy 340B Manager UCSF Medical Center 4155148398	9/20/2017 2:24 PM
Contacts	Primary Contact	Update		Davoren, Tony Director of Finance 4155146013	Hunt, Amy 340B Manager 4155148398	7/27/2017 2:11 PM
Contacts	Authorizing Official	Insert			Antrum, Sheila SVP-AdultSvcs/President-MedCtr 4153532717	7/27/2017 2:11 PM
Contacts	Signed By	Insert			Laret, Mark CEO 4153538063	7/27/2017 2:10 PM
Addresses	Main Address	Insert			400 Parnassus Ave 7th floor San Francisco, CA 94143	7/27/2017 2:10 PM
Addresses	Billing Address	Insert			UCSF-MEDICAL CENTER 505 PARNASSUS AVE. ROOM M39C San Francisco, CA 94143	7/27/2017 2:10 PM
Addresses	Shipping Address	Insert			UCSF-MEDICAL CENTER 505 PARNASSUS AVE. ROOM M39C San Francisco, CA 94143	7/27/2017 2:10 PM
Contacts	Primary Contact	Insert			Davoren, Tony Director of Finance 4155146013	2/28/2017 6:27 PM
Details	Last Recertification Date	Update		9/3/2015 12:00:00 AM	8/19/2016 12:00:00 AM	8/19/2016 12:51 PM
Details	Last Recertification Date	Update		9/8/2014 12:00:00 AM	9/3/2015 12:00:00 AM	9/3/2015 12:59 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-DSH050454DN	DSH050454DN	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-DSH050454DN	6/7/2012 8:01 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	5/17/2012 4:36 PM
Medicaid Billing	Medicaid: Number	Insert			HSP40454G	5/17/2012 4:36 PM
Medicaid Billing	Medicaid: State	Insert			CA	5/17/2012 4:36 PM
Details	Last Recertification Date	Insert				5/17/2012 4:36 PM
Details	Grant Number	Insert				5/17/2012 4:36 PM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	5/17/2012 4:36 PM
Details	Is Authorizing Official EHB Data	Insert				5/17/2012 4:36 PM
Dates	Last Date That 340B Drugs Purchased	Insert				5/17/2012 4:36 PM
Details	Medicare Provider Number	Insert			050454	5/17/2012 4:36 PM
Details	Entity Name	Insert			UCSF-MEDICAL CENTER	5/17/2012 4:36 PM
Details	Program Code	Insert			DSH	5/17/2012 4:36 PM
Details	Entity Subname	Insert			Ophthalmology-Resident	5/17/2012 4:36 PM
Dates	Participating Approval Date	Insert				5/17/2012 4:36 PM
Details	State	Insert			Pending	5/17/2012 4:36 PM
Dates	Registration Date	Insert			5/17/2012 12:00:00 AM	5/17/2012 4:36 PM
Dates	Signed By Date	Insert			5/17/2012 12:00:00 AM	5/17/2012 4:36 PM
Dates	Start Date	Insert				5/17/2012 4:36 PM
Terminations	Termination Comments	Insert				5/17/2012 4:36 PM
Terminations	Termination Date	Insert				5/17/2012 4:36 PM
Terminations	Termination Effective Date	Insert				5/17/2012 4:36 PM
Terminations	Termination Reason	Insert				5/17/2012 4:36 PM