Active NPI
Annelise Alexandra Colvin, MD
- Dermatology Physician
- San Francisco, CA
National Provider Identifier
1023878808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A203626
- Practice address
- 1701 Divisadero St
San Francisco, CA 94115-3011 - Phone
- (415) 353-7800
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A203626 | CA | Primary |
Addresses
Primary practice location
1701 Divisadero St
San Francisco, CA 94115-3011
Mailing address
1701 Divisadero St
San Francisco, CA 94115-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716001971 | MA | Order and Referring Only - Dermatology | 3375088271 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A203626 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1023878808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153011",
"telephone_number": "415-353-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "ANNELISE",
"middle_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A203626",
"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 Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.