PACIFIC PEDIATRICS MED GRP INC (NPI# 1366539884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366539884 |
| Entity Type | Organization |
| Organization Name | PACIFIC PEDIATRICS MED GRP INC |
| Practice Address |
45 Castro Street Suite 232 San Francisco CA 94114 |
| Practice Telephone | 4155656810 |
| Practice Fax Number | 4155656844 |
| Mailing Telephone | 4155656874 |
| Mailing Fax Number | 4155656844 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM BERNARD SOLOMON (TREASURER) |
| Authorized Official Telephone | 4155656810 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 207731 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0026450 | 05 |
| Street Address |
45 CASTRO STREET SUITE 232 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124035274 | Lisa Marie O'connor | Optometrist | 45 Castro Street, Suite 318, San Francisco, CA 94114-1019 | 2006-08-02 |
| 1578873782 | Philip J. O'keefe M.d., Inc. | Internal Medicine | 45 Castro Street, Suite 138, San Francisco, CA 94114-1029 | 2010-10-21 |
| 1063532778 | Warren Tackhoon Kim | Radiology | 45 Castro Street, California Advanced Imaging Medical Associates, San Francisco, CA 94114 | 2007-03-29 |
| 1265590442 | Sutter West Bay Hospitals | General Acute Care Hospital | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1629136817 | California Pacific Medical Center | Skilled Nursing Facility | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1023176252 | Sutter West Bay Hospitals | Psychiatric Unit | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1679641807 | Sutter West Bay Hospitals | Clinic/Center | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1215095419 | Sutter West Bay Hospitals | Skilled Nursing Facility | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1811055098 | Sutter West Bay Hospitals | General Acute Care Hospital | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1720146905 | Sutter West Bay Hospitals | Psychiatric Unit | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016883 | Eric Robert Holmgren | Radiologic Technologist | 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 | 2020-06-05 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1467005710 | Tin Rx Castro San Francisco | Pharmacy | 2175 Market St., Unit 122, San Francisco, CA 94114 | 2019-07-16 |
| 1396239075 | Larry Do Nguyen | Physical Therapist | Castro and Duboce St, San Francisco, CA 94114 | 2018-06-18 |
| 1407385875 | Christine Kaede Fischer | Chiropractor | 1326 Church Street, San Francisco, CA 94114 | 2017-06-08 |
| 1437521168 | Caleb Zeringue | Registered Nurse | 840 Castro St, San Francisco, CA 94114 | 2015-10-21 |
| 1811310188 | Jennifer Lynn Sharpe | Counselor | 126 Church St., San Francisco, CA 94114 | 2014-01-22 |
| 1457787657 | Robin Rachel Rome | Art Therapist | 76a Pond Street, San Francisco, CA 94114 | 2013-09-19 |
| 1487990396 | Gregg S Aspacher | Pharmacist | 2262 Market Street, San Francisco, CA 94114 | 2012-12-20 |
| 1699025338 | Jinous Amjadi | Pharmacist | 2020 Market Street, San Francisco, CA 94114 | 2012-09-10 |
| Find all providers in zip 94114 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158675 | Robert H. Langston | Pediatrics | 3838 California St Rm 815, San Francisco, CA 94118-1510 | 2019-05-07 |
| 1205367919 | Howard Chao | Pediatrics | 550 16th St # 110, San Francisco, CA 94143-2549 | 2017-03-23 |
| 1508226200 | Private Medical Physicians Inc. | Pediatrics | 3580 California St Ste 202, San Francisco, CA 94118-1717 | 2016-02-24 |
| 1326433491 | Emily Rebecca Peitzman | Pediatrics | 1823 Union St Fl 550164, San Francisco, CA 94123-4307 | 2015-04-05 |
| 1972998037 | Elizabeth Yang | Pediatrics | Ucsf Pediatrics 550 16th St Fl 4, San Francisco, CA 94143-0001 | 2015-04-05 |
| 1801281175 | Jessica Maddox | Pediatrics | 2762 23rd St, San Francisco, CA 94110-3442 | 2015-04-02 |
| 1780076448 | Michael Smith | Pediatrics | Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 | 2015-03-04 |
| 1942629704 | Gayatri Boddupalli Madduri | Pediatrics | 50 Parnassus Ave, San Francisco, CA 94117-4343 | 2014-04-09 |
| 1609294909 | Ekaterina Vaisberg | Pediatrics | Dept of Pediatrics Uc San Francisco M691, 505 Parnassus, Box 0110, San Francisco, CA 94143-0001 | 2014-04-03 |
| 1255758512 | Kimberly Nicole Grelli | Pediatrics | Po Box 734, San Francisco, CA 94104-0734 | 2014-03-25 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.