Individual provider Active NPI

Theresa Kemnitz, D.O.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1033419338
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10796 Issued in CA
Practice address
1700 California St
Suite 470
San Francisco, CA 94109-4586
Phone
(415) 978-6074
Fax
(415) 737-1379
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10796 CA Primary

Addresses

Primary practice location

1700 California St
Suite 470
San Francisco, CA 94109-4586

Mailing address

1700 California Street
Suite 470
San Francisco, CA 94109
Phone (415) 978-6074

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
I20120112000690 CA Practitioner - Internal Medicine 7012184146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10796CAMDAddiction (Substance Use Disorder) Counselor
20A10796CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azen Health Inc CurrentSince Jul 29, 2021 Accepting new patients
Hampton Health LTD CurrentSince Jan 1, 2012 Accepting new patients

Locations

1700 California St
Ste 470
San Francisco, CA 94109
Phone (415) 202-9990

1005 Northgate Dr
San Rafael, CA 94903
Phone (415) 996-4793

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7900/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1033419338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA STREET",
            "address_2": "SUITE 470",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-978-6074",
            "fax_number": "415-737-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 470",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094586",
            "telephone_number": "415-978-6074",
            "fax_number": "415-737-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMNITZ",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.