Active NPI
Andrea Pingitore, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- San Francisco, CA
National Provider Identifier
1073755161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A94438
- Practice address
- 505 Parnassus Ave
Suite M580
San Francisco, CA 94143-2204 - Phone
- (415) 353-1613
- Fax
- (145) 353-1200
- NPI assigned
- Apr 3, 2009
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A94438 | CA | Primary |
Addresses
Primary practice location
505 Parnassus Ave
Suite M580
San Francisco, CA 94143-2204
Mailing address
505 Parnassus Ave
Suite M580
San Francisco, CA 94143-2204
Phone (415) 353-1613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025142837 | Other | CA | EMPLOYEE IDENTIFICATION NUMBER |
Other names 1
- Andrea Blacklock
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94438 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1073755161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"address_2": "SUITE M580",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "415-353-1613",
"fax_number": "145-353-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"address_2": "SUITE M580",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "415-353-1613",
"fax_number": "145-353-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGITORE",
"first_name": "ANDREA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-03",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A94438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE IDENTIFICATION NUMBER",
"identifier": "025142837",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BLACKLOCK",
"code": "5",
"type": "Other Name"
}
]
}
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, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.