Active NPI
Randolph H. Chase, M.D.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1063428225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G33463
- Practice address
- 3838 California St
Suite 608
San Francisco, CA 94118-1522 - Phone
- (415) 668-2851
- Fax
- (415) 387-6533
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G33463 | CA | Primary |
Addresses
Primary practice location
3838 California St
Suite 608
San Francisco, CA 94118-1522
Mailing address
3838 California St
Suite 608
San Francisco, CA 94118-1522
Phone (415) 668-2851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G33463 | Other | CA | CALIFORNIA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 11, 2020 through Feb 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G33463 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1063428225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 CALIFORNIA ST",
"address_2": "SUITE 608",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181522",
"telephone_number": "415-668-2851",
"fax_number": "415-387-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 CALIFORNIA ST",
"address_2": "SUITE 608",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181522",
"telephone_number": "415-668-2851",
"fax_number": "415-387-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "RANDOLPH",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G33463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE NUMBER",
"identifier": "G33463",
"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 Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.