UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
NPI 1164497285
Dermatology in San Francisco, CA

Active since February 22, 2006
1001 POTRERO AVENUE, BLDG 90 WARD 92, SAN FRANCISCO, CA 94110(415) 206-8680(415) 206-4317 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2025, May 20, 2025, Mar 17, 2025 (3 updates tracked since 2025).

About University Of California Sfgh Medical Group NPPES

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

UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP (NPI 1164497285), doing business as Ucsf Sfgh Medical Group Dept Of Dermatology, is a healthcare organization registered as a dermatology in San Francisco, California and active in the NPI registry since February 2006. The organization lists Juanita Villanueva, Director, as its authorized official.

NPPES Registry Identity

NPI1164497285
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Location Address1001 POTRERO AVENUE, BLDG 90 WARD 92San Francisco, CA 94110-3518
Mailing AddressPo Box 743749Los Angeles, CA 90074-3749 · (415) 514-3000 · Fax (415) 502-8175
Fax(415) 206-4317
Organization SubpartNo
Authorized OfficialJuanita VillanuevaDirector · (415) 514-2574
Enumeration DateFebruary 22, 2006
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1164497285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1001 POTRERO AVENUE, San Francisco, CA 94110

Other Names 1

Doing Business AsUcsf Sfgh Medical Group Dept Of Dermatology

Other Identifiers 1

MedicaidGR0062253CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of California Sfgh Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20041015000522Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to University Of California Sfgh Medical Group, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Dermatology33
Micrographic Dermatologic Surgery (MDS)1

Nearest to this location (20)

See all 34
Dermatology
NPI 1750561056
995 POTRERO AVENUE BLDG 90, WARD 92
San Francisco, CA 94110
(628) 206-8680
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1780758086
995 POTRERO AVE. BLDG. 90, 2ND FL., WARD 92
San Francisco, CA 94110
(628) 206-4777
✔ PECOS0.1 mi
Dermatology
NPI 1821180993
909 HYDE ST SUITE 423
San Francisco, CA 94109
(415) 885-4343
✔ PECOS2.5 mi
Dermatology
NPI 1457882052
1701 DIVISADERO ST
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1518460328
1701 DIVISADERO ST
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1811954431
1701 DIVISADERO ST
San Francisco, CA 94143
(415) 353-7878
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1902854961
1701 DIVISADERO ST
San Francisco, CA 94115
(415) 353-7878
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1679732671
1701 DIVISADERO ST 3RD FLOOR
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1740675347
1701 DIVISADERO ST 3RD FLOOR
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1578514824
1701 DIVISADERO ST
San Francisco, CA 94115
(415) 206-8680
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1073760096
1701 DIVISADERO ST ROOM 340
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1861629321
1701 DIVISADERO ST
San Francisco, CA 94115
(415) 353-7800
✔ PECOS2.8 mi
Dermatology
NPI 1326501743
1701 DIVISADERO ST
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1972898799
1701 DIVISADERO ST FL 3 UCSF DERMATOLOGY
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1689161952
1701 DIVISADERO ST
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1487949533
1701 DIVISADERO STREET, 3RD FLOOR UCSF DERMATOLOGY
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1508392887
1701 DIVISADERO ST FL 3
San Francisco, CA 94115
(415) 353-7800
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1871869156
400 PARNASSUS AVE
San Francisco, CA 94143
(415) 476-1000
✔ PECOS✔ Accepts Medicare3.0 mi
Dermatology
NPI 1275038861
275 W MACARTHUR BLVD
Oakland, CA 94611
(510) 752-1933
✔ PECOS✔ Accepts Medicare9.3 mi
Dermatology
NPI 1790983237
1300 S ELISEO DR SUITE 207
Greenbrae, CA 94904
(415) 925-0550
✔ PECOS✔ Accepts Medicare15 mi
See all 34 clinicians

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

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 University Of California Sfgh Medical Group's NPI number?

The NPI number for University Of California Sfgh Medical Group is 1164497285. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as UCSF SFGH Medical Group Dept of Dermatology.

Where is University Of California Sfgh Medical Group located?

University Of California Sfgh Medical Group is located at 1001 Potrero Avenue Bldg 90 Ward 92, San Francisco, CA 94110. The listed phone number is (415) 206-8680.

What is University Of California Sfgh Medical Group's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is University Of California Sfgh Medical Group enrolled in Medicare?

Yes. University Of California Sfgh Medical Group is registered in the Medicare PECOS enrollment system.

When is University Of California Sfgh Medical Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through University Of California Sfgh Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 2 Medicare specialties reassign their Medicare billing to University Of California Sfgh Medical Group. 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 Dermatology (33) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 19 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for University Of California Sfgh Medical Group was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.