Individual provider Active NPI

Stephen E. Gitelman, M.D.

  • Pediatric Endocrinology Physician
  • San Francisco, CA
National Provider Identifier
1063440980
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
A42776 Issued in CA
Practice address
513 Parnassus Ave
San Francisco, CA 94143-2205
Phone
(415) 476-3748
Fax
(415) 476-8214
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A42776 CA
Pediatric Endocrinology Physician 2080P0205X A42776 CA Primary

Addresses

Primary practice location

513 Parnassus Ave
San Francisco, CA 94143-2205

Mailing address

1635 Divisadero Street
Suite 625, Box 1821
San Francisco, CA 94143-0001
Phone (415) 353-7337

Other identifiers 1

IdentifierTypeStateIssuer
00A427760MedicaidCA

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
I20080219000713 CA Practitioner - EndocrinologyPractitioner - Pediatric Medicine 0244314953 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42776CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 13, 2010 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 13, 2010 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2018 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 13, 2010 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2018 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
Fl 2
San Francisco, CA 94143
Phone (415) 353-2008

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1500 Owens St
Ste 300
San Francisco, CA 94158
Phone (415) 514-6234

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

513 Parnassus Ave
Ste S679
San Francisco, CA 94143

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

513 Parnassus Ave
Ste S549
San Francisco, CA 94143

Organizations & group practices 8

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1063440980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO STREET",
            "address_2": "SUITE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-353-7337",
            "fax_number": "415-476-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432205",
            "telephone_number": "415-476-3748",
            "fax_number": "415-476-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITELMAN",
        "first_name": "STEPHEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A42776",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "A42776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A427760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.