UCSF SFGH Medical Group Dept of Infectious Disease – Infectious Disease Physician, NPI 1366417933
Infectious Disease Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for UCSF SFGH Medical Group Dept of Infectious Disease
San Francisco General Hospital, 1001, Potrero Avenue, San Francisco, California, 94158, United States
BLDG 80 6TH FLOOR
SAN FRANCISCO, CA 941103518
Phone: (628) 206-2403
Fax: (628) 206-3335
Type: Location
PO BOX 743749
LOS ANGELES, CA 900743749
Phone: (415) 514-3000
Fax: (415) 502-8175
Type: Mailing
San Francisco Post Office, 1300, Evans Avenue, Bayview District, San Francisco, California, 94188, United States
SAN FRANCISCO, CA 941207464
Phone: (415) 514-3000
Fax: (415) 502-8175
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050401000123 | O | Clinic/Group Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94110)
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