Individual provider Active NPI

Chase Thaddeus Maceo Anderson, B.S., M.S.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1013300417
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A170303 Issued in CA
Practice address
1001 Potrero Ave # 6B
San Francisco, CA 94110-3518
Phone
(628) 206-4444
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A170303 CA Primary

Addresses

Primary practice location

1001 Potrero Ave # 6B
San Francisco, CA 94110-3518

Mailing address

2 Diamond St Apt 6
San Francisco, CA 94114-1942
Phone (206) 930-5793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002737 CA Practitioner - Psychiatry 9638442866 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
A170303CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California, San Francisco CurrentSince Oct 13, 2022 Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince Nov 9, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 9, 2022 Accepting new patients
University of California San Francisco CurrentSince Nov 9, 2022 Accepting new patients
University of California San Francisco Psychiatry Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 9, 2022 Accepting new patients
University of California San Francisco CurrentSince Oct 13, 2022 Accepting new patients
University of California SFGH Medical Group CurrentSince May 1, 2023 Accepting new patients
University of California SFGH Medical Group CurrentSince May 1, 2023 Accepting new patients
University of California San Francisco CurrentSince Nov 9, 2022 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
Ste 6B
San Francisco, CA 94110
Phone (415) 206-4444

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

1001 Potrero Ave
#6B
San Francisco, CA 94110
Phone (415) 206-5270

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

Interoperability endpoints

  • Direct secure messaging: canderson128190@direct-ucsfmedicalcenter.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1013300417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DIAMOND ST APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141942",
            "telephone_number": "206-930-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE # 6B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHASE",
        "middle_name": "THADDEUS MACEO",
        "name_prefix": "Dr.",
        "credential": "B.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A170303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.