Individual provider Active NPI

Dolores Josephine Meehan, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1023619442
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015805 Issued in CA
Practice address
2000 Van Ness Ave Ste 304
San Francisco, CA 94109-3020
Phone
(415) 775-1500
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95015805 CA
Nurse Practitioner 363L00000X 95015805 CA Primary

Addresses

Primary practice location

2000 Van Ness Ave Ste 304
San Francisco, CA 94109-3020

Mailing address

1350 15TH Ave
San Francisco, CA 94122-2008
Phone (415) 860-7899

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111002828 CA Practitioner - Nurse Practitioner 1951711498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Health and Wellness IncGroup PAC ID 7517319148, 3 clinicians

Practice addresses (Care Compare)

2000 Van Ness Ave
Suite 304
San Francisco, CA 94109-3020
Phone (415) 845-5795

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95015805CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Polyxene Gazetas Kokinos MD PC CurrentSince Nov 5, 2020 Accepting new patients
Bella Health and Wellness Inc CurrentSince Nov 15, 2023 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients

Locations

2255 S Bascom Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-3626

8420 Church St
Gilroy, CA 95020
Phone (408) 376-3626

2000 Van Ness Ave
Ste 304
San Francisco, CA 94109
Phone (415) 563-1616

Interoperability endpoints

  • Direct secure messaging: bellahealthandwellness.doloresmeehan@157056.advancedmd-direct.com

Organizations & group practices 3

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1023619442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 15TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222008",
            "telephone_number": "415-860-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE STE 304",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093020",
            "telephone_number": "415-775-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "DOLORES",
        "middle_name": "JOSEPHINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95015805",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.