NANCY J V BOHANNON, MD, MEDICAL CORPORATION


Address: 1580 Valencia St, Ste 504, San Francisco, CA 94110-4423
Phone: 4156487622

NANCY J V BOHANNON, MD, MEDICAL CORPORATION (NPI# 1699059113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699059113
Entity Type Organization
Organization Name NANCY J V BOHANNON, MD, MEDICAL CORPORATION
Practice Address 1580 Valencia St
Ste 504
San Francisco
CA 94110-4423
Practice Telephone 4156487622
Practice Fax Number 4156486805
Mailing Telephone 4156487622
Mailing Fax Number 4156486805
Enumeration Date 2011-10-03
Last Update Date 2011-10-03
Authorized Official Name DR. NANCY J BOHANNON (PRESIDENT)
Authorized Official Telephone 4156487622
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
A25795 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE LICENSE A25795 01

Office Location

Street Address 1580 VALENCIA ST
STE 504
City SAN FRANCISCO
State CA
Zip Code 94110-4423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922004571 Sara Anne Syer Physician Assistant 1580 Valencia St, Suite # 602, San Francisco, CA 94110-4423 2005-06-27
1730531955 Family Podiatry Center Podiatrist 1580 Valencia St, Suite 109, San Francisco, CA 94110-4423 2016-07-12
1245604354 Vanessa Evers Registered Nurse 1580 Valencia St, Suite 508, San Francisco, CA 94110-4423 2015-12-01
1174954747 Emily Rosemary Yen Pharmacist 1580 Valencia St, San Francisco, CA 94110-4423 2013-12-09
1891121364 Laurel Kirby Bernstein Advanced Practice Midwife 1580 Valencia St, Suite 508, San Francisco, CA 94110-4423 2013-09-17
1285066738 Hannah Mulder Advanced Practice Midwife 1580 Valencia St, San Francisco, CA 94110-4423 2013-08-07
1205174836 Mayuka Matsumoto Pharmacist 1580 Valencia St, Suite 101, San Francisco, CA 94110-4423 2013-01-16
1932485117 Kimberly Ann Cirella Advanced Practice Midwife 1580 Valencia St, Ste 508, San Francisco, CA 94110-4423 2011-11-01
1578845145 Liseli I Mulala-simpson Pharmacist 1580 Valencia St, Suite 101, San Francisco, CA 94110-4423 2011-09-09
1679716328 George Wu M.d., A Professional Corporation Plastic Surgery 1580 Valencia St, Suite 210, San Francisco, CA 94110-4423 2009-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891302980 Deena Marlo Abramson Doula 1360 Vermont Street, San Francisco, CA 94110 2020-09-23
1740835131 Jacob Matz Orthopaedic Surgery Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 2019-08-03
1427523083 John Pier Shaw Counselor 1550 Treat Street, San Francisco, CA 94110 2018-10-10
1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1639688823 Rashid Belkheiri Community Health Worker 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 2017-09-20
1780107425 Allison Kimberley Tucker Orthopaedic Surgery 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 2017-07-25
1003339300 April May Moyer Student in an Organized Health Care Education/Training Program 1001 Potrero Street 6b, San Francisco, CA 94110 2017-07-19
1154851798 Anthony Jermaine Hatten Specialist 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 2017-06-15
1770012981 Cardiogram, Inc. Physiological Laboratory 375 Alabama St Ste 350, San Francisco, CA 94110 2017-06-09
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124585393 Steady Health Inc Internal Medicine 100 Bush St Ste 1600, San Francisco, CA 94104-3918 2019-02-25
1144547456 Diana Lucia Alba Internal Medicine 400 Parnassus Ave Ste 550, San Francisco, CA 94143-2202 2010-04-26
1558517904 Kelly Lee Wentworth Internal Medicine 400 Parnassus Ave # A-550, San Francisco, CA 94143-2202 2008-08-15
1053581306 Mickie Hsiao Mei Cheng Internal Medicine Ucsf Endocrinology Clinic, 500 Parnassus Ave, 5th Floor Box 1222, San Francisco, CA 94143-0001 2008-03-03
1992902605 Anand Y Mehta Internal Medicine 1001 Potrero Ave Bldg 30, Room 3501-k, San Francisco, CA 94110-3518 2007-06-27
1790992998 Jennifer Park-sigal Internal Medicine 1001 Potrero Ave, Bld 30, Rm 3501k, San Francisco General Hospital, San Francisco, CA 94110-3518 2007-05-17
1033241658 Gregory Michael Ku Internal Medicine 513 Parnassus Ave Box 0534, San Francisco, CA 94143-0001 2007-03-09
1659418655 Victoria Chiayu Hsiao Internal Medicine 400 Parnassus Ave Ste A550, San Francisco, CA 94143 2007-01-30
1306954888 George P. Fulmer Internal Medicine 54 Martha Ave, San Francisco, CA 94131-2835 2006-08-26
1508879073 Allan Pont Internal Medicine 2351 Clay St # 380, San Francisco, CA 94115-1931 2006-08-14
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Competitor

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City SAN FRANCISCO
Zip Code 94110

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Dataset Information

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.

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