Individual provider Active NPI

Daniel Peter Bertheau, ANP-BC

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1013192889
Registry record updated Dec 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
17146 Issued in CA
Practice address
244A Guerrero St
San Francisco, CA 94103-2302
Phone
(415) 863-5235
NPI assigned
Dec 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 17146 CA Primary

Addresses

Primary practice location

244A Guerrero St
San Francisco, CA 94103-2302

Mailing address

244A Guerrero St
San Francisco, CA 94103-2302
Phone (415) 863-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17146CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: dbertheau28727@direct-ucsfmedicalcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198886400000",
    "number": "1013192889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244A GUERRERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032302",
            "telephone_number": "415-863-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244A GUERRERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032302",
            "telephone_number": "415-863-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHEAU",
        "first_name": "DANIEL",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-29",
        "last_updated": "2007-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "17146",
            "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 Dec 29, 2007; 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.