Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

University of California Sfgh Medical Group

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1811475759

University of California Sfgh Medical Group is an Oral and Maxillofacial Surgery (Dentist) in San Francisco, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1001 Potrero Ave Bldg 5 Rm 1N1
San Francisco, CA 94110-3518
Phone: (415) 502-0661
Fax: (415) 476-6206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X

Record details

NPI number1811475759
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUniversity of California Sfgh Medical Group
Authorized official Juanita Villanueva — Director · (415) 514-2574
Other names Ucsf Sfgh Medical Group Dept Of Oral And Maxillofacial Surgery; Ucsf Sfgh Medical Group Dept Of Oral And Maxillofacial Surgery
NPI enumeratedAugust 2, 2018
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025
Mailing addressPo Box 743749, Los Angeles, CA 90074-3749

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