GOLDEN GATE UROLOGY INC
NPI 1063640738
Urology in San Francisco, CA
NPI Status: Active since July 01, 2009
Contact Information
1661 MISSION ST
SAN FRANCISCO, CA
ZIP 94103
Phone: (415) 543-2830
Fax: (415) 543-2830
- Organization
- Urology
- CLIA Number: 05D1103026
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-30-2027
About GOLDEN GATE UROLOGY INC
This page provides the complete NPI Profile along with additional information for Golden Gate Urology Inc, a provider established in San Francisco, California operating as a Urology. The healthcare provider is registered in the NPI registry with number 1063640738 assigned on July 2009. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Golden Gate Urology Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sara Betancourt (Director Of Finance)
- NPI
- 1063640738
- Provider Name
- GOLDEN GATE UROLOGY INC
- Entity Type
- Organization
- Location Address
- 1661 MISSION ST SAN FRANCISCO, CA 94103
- Location Phone
- (415) 543-2830
- Location Fax
- (415) 543-2830
- Mailing Address
- DEPT LA 23565 PASADENA, CA 91185
- Mailing Phone
- (415) 543-2830
- Mailing Fax
- (415) 543-2830
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-01-2009
- Last Update Date
- 07-24-2023
- Code Navigator
Location Map
Secondary Locations
- 2186 Geary Blvd Ste 214
San Francisco, CA 94115
(415) 922-3255 - 3100 Telegraph Ave Ste 3000
Oakland, CA 94609
(510) 238-1238 - 2186 Geary Blvd Ste 212
San Francisco, CA 94115
(415) 357-7031 - 929 Clay St Ste 505
San Francisco, CA 94108
(415) 392-9690 - 1850 Sullivan Ave Ste 300
Daly City, CA 94015
(415) 861-0600 - 2186 Geary Blvd Ste 314
San Francisco, CA 94115
(415) 861-0600 - 2999 Regent St Ste 612
Berkeley, CA 94705
(510) 848-1727
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DP8077 | OTHER (01) | CA | RAILROAD MEDICARE |
| 1063640738 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1103026
- Facility Type
- Physician Office
- Certificate Effective Date
- July 31, 2025
- Certificate Expiration Date
- July 30, 2027
- Laboratory Director
- WENWU JIN, MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Golden Gate Urology Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063640738, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SAN FRANCISCO, CA 94103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063640738, enumerated as an "organization" on July 01, 2009.
The provider is located at 1661 MISSION ST SAN FRANCISCO, CA 94103 and the phone number is (415) 543-2830.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
