Organization Active NPI

Spora Health LLC

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1043849946
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPORA HEALTH LLC
Practice address
135 Dore St Unit A2
San Francisco, CA 94103-6816
Phone
(650) 479-4665
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Danny Miller
Title
Ceo
Phone
(908) 500-8863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

135 Dore St Unit A2
San Francisco, CA 94103-6816

Mailing address

135 Dore St Unit A2
San Francisco, CA 94103-6816

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1043849946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DORE ST UNIT A2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941036816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 DORE ST UNIT A2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941036816",
            "telephone_number": "650-479-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-500-8863"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.