Individual provider Active NPI

Shelley A Palfy, MD

  • Pediatrics Physician
  • San Rafael, CA
National Provider Identifier
1043282429
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A104009 Issued in CA
Practice address
4000 Civic Center Dr
#205
San Rafael, CA 94903-4171
Phone
(415) 479-7244
Fax
(415) 479-0917
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A104009 CA Primary

Addresses

Primary practice location

4000 Civic Center Dr
#205
San Rafael, CA 94903-4171

Mailing address

PO Box 254947
Sacramento, CA 95865-4947
Phone (916) 854-6975

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
I20111012000349 CA Practitioner - Pediatric Medicine 1951573138 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104009CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Alliance Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Regents Univ of California UCSF Pediatrics CurrentSince Feb 4, 2019 Accepting new patients
Prima Medical Group, Inc. Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients

Locations

1100 S Eliseo Dr
Ste 106
Greenbrae, CA 94904
Phone (415) 461-8828

1381 University St
Healdsburg, CA 95448
Phone (707) 431-8234

1557 Healdsburg Ave
Ste 16
Healdsburg, CA 95448

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

750 Redwood Hwy Frontage Rd
Ste 1204
Mill Valley, CA 94941
Phone (415) 384-4778

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2395 Lombard St
San Francisco, CA 94123
Phone (415) 640-5024

4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244

4000 Civic Center Dr
Ste 206
San Rafael, CA 94903
Phone (415) 492-4800

8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494

Interoperability endpoints

  • Direct secure messaging: spalfy99655@direct-ucsfmedicalcenter.org

Organizations & group practices 5

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1043282429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254947",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958654947",
            "telephone_number": "916-854-6975",
            "fax_number": "916-854-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "#205",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034171",
            "telephone_number": "415-479-7244",
            "fax_number": "415-479-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALFY",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A104009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.