Graham Wallace Diagnostic Radiology
400 Parnassus Ave, Mcb300, San Francisco, CA 94143-0810


Graham Wallace is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1063499267. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7012200132. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER. The address is 400 Parnassus Ave, Mcb300, San Francisco, CA 94143-0810. The zip code is 94143.


Graham Wallace · 400 Parnassus Ave, Mcb300, San Francisco, CA 94143-0810

Nation Provider ID 1063499267
PAC ID by PECOS 7012200132
Professional Enrollment ID I20160727002064
Last Name WALLACE
First Name GRAHAM
Gender M
Medical School Name UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Phone Number 4154761000
Group Practice PAC ID 4486567229
Number of Group Practice Members 918
Address 400 PARNASSUS AVE
MCB300
SAN FRANCISCO, CA 941430810
Claims Based Hospital Affiliation Claim Control Number (CCN): 050454
Legal Business Name: UCSF MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 050195
Legal Business Name: WASHINGTON HOSPITAL
Professional accepts Medicare Assignment Y

University of California San Francisco Medical Center · Medicare Physician

Name Address Specialty
Lindy Fox 400 Parnassus Ave, San Francisco, CA 94143-0810 DERMATOLOGY
Jill Ostrem 8 Koret Way, San Francisco, CA 94143-2218 NEUROLOGY
Charles Ryan 350 Parnassus Ave, San Francisco, CA 94143-0001 MEDICAL ONCOLOGY
Nerissa Ko 2380 Sutter St, San Francisco, CA 94143 NEUROLOGY
Katy Tsai 8 Koret Way, San Francisco, CA 94143-2218 INTERNAL MEDICINE
Guy Shochat 400 Parnassus Ave, San Francisco, CA 94143-0810 EMERGENCY MEDICINE
Eric Seeley 8 Koret Way, San Francisco, CA 94143-2218 PULMONARY DISEASE
Tara Valcarcel 400 Parnassus Ave, San Francisco, CA 94143-0810 NURSE PRACTITIONER
Madhu Rao 400 Parnassus Ave, San Francisco, CA 94143-0810 ENDOCRINOLOGY
David Naeger 533 Pamassus Ave, San Francisco, CA 94143-0001 DIAGNOSTIC RADIOLOGY
Miranda Dunlop 400 Parnassus Ave, San Francisco, CA 94143-0810 INTERNAL MEDICINE
Patricia Sneed 533 Pamassus Ave, San Francisco, CA 94143-0001 RADIATION ONCOLOGY
Dereck Ko 8 Koret Way, San Francisco, CA 94143-2218 NURSE PRACTITIONER
Andrew Booty 2380 Sutter St, San Francisco, CA 94143 PSYCHIATRY
Michael Marcin 2380 Sutter St, San Francisco, CA 94143 PSYCHIATRY
Melissa Burroughs Pena 350 Parnassus Ave, San Francisco, CA 94143-0001 INTERNAL MEDICINE
Peter Ryg 400 Parnassus Ave, San Francisco, CA 94143-0810 OPHTHALMOLOGY
Ramin Naeini 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Anna Knobel 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Ellen Weber 1500 Owen St, San Francisco, CA 94143-2334 EMERGENCY MEDICINE

Zip 94143 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Jennifer Lee 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Donald Kim 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Rebecca Dumont Walter 505 Parnassus Ave, San Francisco, CA 94143-2204 DIAGNOSTIC RADIOLOGY
Seyedmehdi Payabvash 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Antonio Westphalen 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Daniel Chow 505 Parnassus Ave, San Francisco, CA 94143-2204 DIAGNOSTIC RADIOLOGY
Ramya Srinivasan 2380 Sutter St, San Francisco, CA 94143 DIAGNOSTIC RADIOLOGY
Andrew Taylor 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Ruth Goldstein 8 Koret Way, San Francisco, CA 94143-2218 DIAGNOSTIC RADIOLOGY
Shilpa Puppala 505 Parnassus Ave, San Francisco, CA 94143-2204 DIAGNOSTIC RADIOLOGY
Rebecca Smith Bindman 1600 Divisadero St, San Francisco, CA 94143-3066 DIAGNOSTIC RADIOLOGY
Elliot Dickerson 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Brian Haas 350 Parnassus Ave, San Francisco, CA 94143-0001 DIAGNOSTIC RADIOLOGY
Frank Mainzer 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Anthony Barkovich 8 Koret Way, San Francisco, CA 94143-2218 DIAGNOSTIC RADIOLOGY
Jason Talbott 350 Parnassus Ave, San Francisco, CA 94143-0001 DIAGNOSTIC RADIOLOGY
Derek Sun 350 Parnassus Ave, San Francisco, CA 94143-0001 DIAGNOSTIC RADIOLOGY
Max Wu 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY
Marc Kohli 1500 Owen St, San Francisco, CA 94143-2334 DIAGNOSTIC RADIOLOGY
Elissa Price 400 Parnassus Ave, San Francisco, CA 94143-0810 DIAGNOSTIC RADIOLOGY

Zip 94143 · Medicare Physician

Name Address Specialty
Tushani Illangasekare 2380 Sutter St, San Francisco, CA 94143 OBSTETRICS/GYNECOLOGY
Mary Kleinhenz 2380 Sutter St, San Francisco, CA 94143 PULMONARY DISEASE
Richard Jacobs 400 Parnassus Ave, San Francisco, CA 94143-2202 INFECTIOUS DISEASE
Amal Khoury 400 Pamassus Ave, San Francisco, CA 94143-0001 GENERAL SURGERY
Tom Lue 400 Parnassus Ave, San Francisco, CA 94143-2202 UROLOGY
Steven Ludwin 400 Parnassus Ave, San Francisco, CA 94143-2202 INTERNAL MEDICINE
Paul Butler 400 Parnassus Ave, San Francisco, CA 94143-2202 NEUROLOGY
Emily Huang 400 Pamassus Ave, San Francisco, CA 94143-0001 GENERAL SURGERY
Rahul Aggarwal 400 Parnassus Ave, San Francisco, CA 94143-0810 HEMATOLOGY/ONCOLOGY
Jill Ostrem 8 Koret Way, San Francisco, CA 94143-2218 NEUROLOGY
Racheal Callcut 505 Parnassus Ave, San Francisco, CA 94143-2204 GENERAL SURGERY
Mehrdad Matloubian 350 Parnassus Ave, San Francisco, CA 94143-0001 RHEUMATOLOGY
Peter Kouretas 400 Pamassus Ave, San Francisco, CA 94143-0001 PEDIATRIC MEDICINE
Jeffrey Kishiyama 400 Parnassus Ave, San Francisco, CA 94143-0810 ALLERGY/IMMUNOLOGY
Karen Mu 400 Parnassus Ave, San Francisco, CA 94143-0810 PSYCHIATRY
Anne Chang 400 Parnassus Ave, San Francisco, CA 94143-0810 INTERNAL MEDICINE
Natalie Heaivilin 521 Parnassus Ave, San Francisco, CA 94143-2206 ORAL SURGERY
Maryanne Christoforou 400 Parnassus Ave, San Francisco, CA 94143-0810 NURSE PRACTITIONER
Rosemary De Perez 400 Parnassus Ave, San Francisco, CA 94143-0810 NURSE PRACTITIONER
Jessica Tenney 400 Parnassus Ave, San Francisco, CA 94143-0810 UNDEFINED PHYSICIAN TYPE (SPECIFY)