Active NPI
Jonna Mae Fernando Arcangeles
- General Practice Physician
- San Francisco, CA
National Provider Identifier
1073152039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13307230
- Practice address
- 1566 La Salle Ave
San Francisco, CA 94124-2172 - Phone
- (415) 608-9924
- NPI assigned
- Dec 22, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13307230 | CA | Primary |
Addresses
Primary practice location
1566 La Salle Ave
San Francisco, CA 94124-2172
Mailing address
1566 La Salle Ave
San Francisco, CA 94124-2172
Phone (415) 608-9924
Other practice location 1
1001 Sneath Ln Ste 200
San Bruno, CA 94066-2349
Phone (916) 382-4447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13307230 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576972800000",
"number": "1073152039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1566 LA SALLE AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941242172",
"telephone_number": "415-608-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1566 LA SALLE AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941242172",
"telephone_number": "415-608-9924"
}
],
"practiceLocations": [
{
"address_1": "1001 Sneath Ln Ste 200",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940662349",
"country_code": "US",
"telephone_number": "916-382-4447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCANGELES",
"first_name": "JONNA MAE",
"middle_name": "FERNANDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-22",
"last_updated": "2019-12-22",
"certification_date": "2019-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "13307230",
"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 Dec 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.