Active NPI
Phebe Dodyk Kiryk, NP
- Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1083970693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5617
- Practice address
- 2 Embarcadero Ctr
Lobby Level
San Francisco, CA 94111-3823 - Phone
- (415) 578-3100
- Fax
- (415) 252-7176
- NPI assigned
- Apr 9, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5617 | CA | Primary |
Addresses
Primary practice location
2 Embarcadero Ctr
Lobby Level
San Francisco, CA 94111-3823
Mailing address
PO Box 26170
San Francisco, CA 94126-6170
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5617 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, P.C. | Past | Accepting new patients | |
| One Medical Group, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
- General Practice Physician
- New York, NY
- NPI 1144457151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1083970693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26170",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941266170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EMBARCADERO CTR",
"address_2": "LOBBY LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113823",
"telephone_number": "415-578-3100",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRYK",
"first_name": "PHEBE",
"middle_name": "DODYK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5617",
"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 Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.