Paul D Blanc, MD
Individual provider Active NPI Internal Medicine Physician · San Francisco, CA
NPI 1013972298 · NPPES record last updated Jul 22, 2008
Key facts
- NPI
- 1013972298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G54987 (CA)
- Practice address
- 400 Parnassus Ave
San Francisco, CA 94143-2202 - Phone
- (415) 353-2961
- Fax
- (415) 476-6426
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080228000696 | CA | Practitioner - Internal Medicine |
7416031471 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
Locations
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977
1001 Potrero Ave
Rm 5G8
San Francisco, CA 94110
Phone (415) 206-8686
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774
400 Parnassus Ave
Fl 5
San Francisco, CA 94143
Phone (415) 353-2626
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
350 Parnassus Ave
Ste 609
San Francisco, CA 94117
Phone (415) 353-2567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G54987 | CA | Yes |
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | G54987 | CA | |
| Occupational Medicine Physician | 2083X0100X | G54987 | CA |
Addresses
Primary practice location
400 Parnassus Ave
San Francisco, CA 94143-2202
Mailing address
1635 Divisadero St
Ste. 625, Box 1821
San Francisco, CA 94143-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G549870 | Medicaid | CA |
Other providers in San Francisco, CA
- Jacqueline Blakely
- Lisa J Blakely
- Brendan Blakewell
- Midori-Jade Blakey
- Jessica Blalock
- Janette Blancaluz-Hansen
- Oscar Blancas
- Brittany Blanche
- Earl Jordan Blanche
- Amie Marie Blanco
All providers in San Francisco, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.