Active NPI
Breall Group
- Cardiovascular Disease Physician
- San Francisco, CA
National Provider Identifier
1033132048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- BREALL GROUP
- Practice address
- 2250 Hayes St
Suite 204
San Francisco, CA 94117-1078 - Phone
- (415) 933-9100
- Fax
- (415) 933-9133
- NPI assigned
- Jul 25, 2006
- Last updated
- Mar 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Billings
- Title
- Office Manager
- Phone
- (415) 933-9100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X |
Addresses
Primary practice location
2250 Hayes St
Suite 204
San Francisco, CA 94117-1078
Mailing address
2250 Hayes St
Suite 204
San Francisco, CA 94117-1078
Phone (415) 933-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YYY20790Y | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1150 Bush St
San Francisco, CA 94109
Phone (415) 775-2277
1150 Bush St
Ste 4A
San Francisco, CA 94109
Phone (415) 775-2277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427673600000",
"number": "1033132048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 HAYES ST",
"address_2": "SUITE 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171078",
"telephone_number": "415-933-9100",
"fax_number": "415-933-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 HAYES ST",
"address_2": "SUITE 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171078",
"telephone_number": "415-933-9100",
"fax_number": "415-933-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREALL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2015-03-30",
"status": "A",
"authorized_official_last_name": "BILLINGS",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "415-933-9100"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "YYY20790Y",
"state": "CA"
}
],
"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 Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.