Organization Active NPI

Hampton Health LTD

  • Geriatric Medicine (Family Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1013142280
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
G59000 Issued in CA
Legal business name
HAMPTON HEALTH LTD
Practice address
1700 California St
Ste. 470
San Francisco, CA 94109-4590
Phone
(415) 202-9990
Fax
(415) 843-0548
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John H Fullerton, M.D.NPI 1588756266
Title
Owner
Phone
(415) 202-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X G59000 CA Primary

Addresses

Primary practice location

1700 California St
Ste. 470
San Francisco, CA 94109-4590

Mailing address

1700 California St
Ste. 470
San Francisco, CA 94109-4590
Phone (415) 202-9990

National Provider Directory

National Provider Directory

Locations

1500 Silveria Pkwy
San Rafael, CA 94903

61 Professional Ctr
San Rafael, CA 94903

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1013142280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "STE. 470",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094590",
            "telephone_number": "415-202-9990",
            "fax_number": "415-843-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "STE. 470",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094590",
            "telephone_number": "415-202-9990",
            "fax_number": "415-843-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-202-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G59000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.