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GOLDEN GATE UROLOGY INC
NPI 1063640738
Urology in San Francisco, CA

Active since July 01, 2009CLIA Certified · 3 labs
1661 MISSION ST, SAN FRANCISCO, CA 94103(415) 543-2830(415) 543-2830 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Sep 20, 2022, Aug 13, 2020 and 3 more (6 updates tracked since 2019).

About Golden Gate Urology Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN GATE UROLOGY INC (NPI 1063640738) is a healthcare organization registered as an urology in San Francisco, California and active in the NPI registry since July 2009. The organization holds 3 active CLIA laboratory certificates, maintains 7 additional practice locations, and lists Sara Betancourt, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1063640738
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGOLDEN GATE UROLOGY INC
Location Address1661 MISSION STSan Francisco, CA 94103-2413
Mailing AddressDept La 23565Pasadena, CA 91185-3565 · (415) 543-2830 · Fax (415) 354-3431
Phone(415) 543-2830
Fax(415) 543-2830
Organization SubpartNo
Authorized OfficialSara BetancourtDirector Of Finance · (415) 543-2830
Enumeration DateJuly 1, 2009
Last NPPES UpdateJuly 24, 20236 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1063640738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
1661 MISSION ST, San Francisco, CA 94103
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Secondary Practice Locations 7

Location 12999 Regent St Ste 612Berkeley, CA 94705-2121 · Phone (510) 848-1727 · Fax (510) 848-8224
Location 23100 Telegraph Ave Ste 3000Oakland, CA 94609-3210 · Phone (510) 238-1238 · Fax (510) 238-1338
Location 3929 Clay St Ste 505San Francisco, CA 94108-1500 · Phone (415) 392-9690 · Fax (415) 392-9695
Location 41850 Sullivan Ave Ste 300Daly City, CA 94015-2204 · Phone (415) 861-0600 · Fax (415) 861-0606
Location 52186 Geary Blvd Ste 314San Francisco, CA 94115-3457 · Phone (415) 861-0600 · Fax (415) 861-0606
Location 62186 Geary Blvd Ste 212San Francisco, CA 94115-3456 · Phone (415) 357-7031 · Fax (415) 354-3431
Location 72186 Geary Blvd Ste 214San Francisco, CA 94115-3456 · Phone (415) 922-3255 · Fax (415) 922-2527

Other Identifiers 2

OtherDP8077CA · Railroad Medicare
Medicaid1063640738CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0994161

Golden Gate Urology, Inc · Oakland, CA
Active · expires Dec 5, 2027
CLIA Number05D0994161
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorRobert Q. Yan MD
Laboratory Phone(510) 238-1238
Laboratory LocationGolden Gate Urology, Inc3100 Telegraph Avenue,suite 3000, Oakland, CA 94609
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1103026

Golden Gate Urology · San Francisco, CA
Active · expires Jul 30, 2027
CLIA Number05D1103026
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorWenwu Jin, MD
Laboratory Phone(415) 392-9690
Laboratory LocationGolden Gate Urology929 Clay St Suite 505, San Francisco, CA 94108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0594442

Golden Gate Urology, Inc · San Francisco, CA
Active · expires Aug 31, 2026
CLIA Number05D0594442
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRodman Rogers
Laboratory Phone(415) 922-3255
Laboratory LocationGolden Gate Urology, Inc2186 Geary Blvd, Ste 214, San Francisco, CA 94115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID GREGORY KORNGUTH M.D.
Radiology (Radiation Oncology)
1661 MISSION ST
SAN FRANCISCO, CA 94103
San Francisco County (415) 541-0800
GOLDEN GATE UROLOGY INC
Non-Pharmacy Dispensing Site
1661 MISSION ST
SAN FRANCISCO, CA 94103
San Francisco County (415) 541-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Gate Urology Inc's NPI number?

The NPI number for Golden Gate Urology Inc is 1063640738. It was assigned to this organization in the NPPES registry on July 1, 2009.

Where is Golden Gate Urology Inc located?

Golden Gate Urology Inc is located at 1661 Mission St, San Francisco, CA 94103. The listed phone number is (415) 543-2830.

What is Golden Gate Urology Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Golden Gate Urology Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Golden Gate Urology Inc was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.