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

Active since July 01, 2009CLIA Certified · 2 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: October 25, 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 2 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
Open in Google Maps ↗

Secondary Practice Locations 7

Location 12186 Geary Blvd Ste 214San Francisco, CA 94115-3456 · Phone (415) 922-3255 · Fax (415) 922-2527
Location 23100 Telegraph Ave Ste 3000Oakland, CA 94609-3210 · Phone (510) 238-1238 · Fax (510) 238-1338
Location 32999 Regent St Ste 612Berkeley, CA 94705-2121 · Phone (510) 848-1727 · Fax (510) 848-8224
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 7929 Clay St Ste 505San Francisco, CA 94108-1500 · Phone (415) 392-9690 · Fax (415) 392-9695

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Golden Gate Urology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Golden Gate Urology Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Urology11
Radiation Oncology1

Clinicians, nearest first (12)

David Kornguth, M.D.
Radiation Oncology
NPI 1801820394
1661 MISSION ST
San Francisco, CA 94103
(415) 541-0800
✔ PECOS✔ Accepts MedicareSame address
Robert Hoang, M.D.
Urology
NPI 1407932155
815 HYDE ST STE 300
San Francisco, CA 94109
(415) 202-0260
✔ PECOS✔ Accepts Medicare1.2 mi
Ira Sharlip, M.D.
Urology
NPI 1548362916
2186 GEARY BLVD STE 214
San Francisco, CA 94115
(159) 223-2554
✔ PECOS✔ Accepts Medicare1.4 mi
Yevgeniy Veltman, M.D.
Urology
NPI 1497917579
2186 GEARY BLVD STE 214
San Francisco, CA 94115
(415) 922-3255
✔ PECOS✔ Accepts Medicare1.4 mi
Rodman Rogers, M.D.
Urology
NPI 1073617023
2186 GEARY BLVD SUITE 214
San Francisco, CA 94115
(415) 922-0347
✔ PECOS✔ Accepts Medicare1.4 mi
Wenwu Jin, M.D., PH.D.
Urology
NPI 1003051780
929 CLAY ST SUITE 505
San Francisco, CA 94108
(415) 392-9690
✔ PECOS✔ Accepts Medicare1.7 mi
Qingwei Yan, M.D.
Urology
NPI 1003995648
3100 TELEGRAPH AVE STE 3000
Oakland, CA 94609
(510) 238-1238
✔ PECOS✔ Accepts Medicare9.0 mi
Chi Lee, MD
Urology
NPI 1194883769
2999 REGENT ST #612
Berkeley, CA 94705
(510) 848-1733
✔ PECOS✔ Accepts Medicare11 mi
Andrew Pienkny, MD
Urology
NPI 1912085127
2999 REGENT ST STE 612
Berkeley, CA 94705
(510) 848-1727
✔ PECOS✔ Accepts Medicare11 mi
Gregory Barme, MD
Urology
NPI 1295700235
2999 REGENT ST STE 612
Berkeley, CA 94705
(510) 848-1727
✔ PECOS✔ Accepts Medicare11 mi
Daniel Oberlin, M.D.
Urology
NPI 1184910044
2999 REGENT ST STE 612
Berkeley, CA 94705
(510) 848-1727
✔ PECOS✔ Accepts Medicare11 mi
Allison Sih, M.D.
Urology
NPI 1871955898
2999 REGENT ST STE 612
Berkeley, CA 94705
(510) 848-1727
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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) 05D0594442

Golden Gate Urology, Inc · San Francisco, CA
Active · expires Aug 31, 2028
CLIA Number05D0594442
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
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.

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.

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.

Is Golden Gate Urology Inc enrolled in Medicare?

Yes. Golden Gate Urology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden Gate Urology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Golden Gate Urology Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (11) and Radiation Oncology (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Golden Gate Urology Inc hold CLIA laboratory certificates?

Yes. 2 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.