Organization Active NPI

Virta Medical P.C.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1093225138
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRTA MEDICAL P.C.
Doing business as
Virta Medical P.C.
Practice address
655 Montgomery St Ste 810
San Francisco, CA 94111-2677
Phone
(844) 847-8216
Fax
(415) 520-9150
NPI assigned
Oct 3, 2017
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Jeffrey Peterson Stanley, MDNPI 1083858849
Title
President
Phone
(844) 847-8216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Mailing address

655 Montgomery St Ste 810
San Francisco, CA 94111-2677
Phone (844) 847-8216

Other names 1

  • Virta Medical P.C. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.virtahealth.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL, NC, FL, VT, OR, WA, MA, IL, ID, CT, CO, AK, AR, KS, AZ, MN, MI, GA, OH, WI, WV, NY, KY, IN, VA, DE, TN, WY, LA, UT, NH, SD, OK, TX, HI, SC, NM, NJ, MT, MD, ME, DC, NE, ND, RI, PA, NV, IA, MO, MS51 enrollments

Enrollment records 51

Enrollment IDStateProvider typePAC IDDetails
O20200330002977 CA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 23 practitioners
Practice locations: San Francisco, CA
O20220216001191 AL Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: Huntsville, AL; Montgomery, AL
O20220221001230 NC Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 11 practitioners
Practice locations: Raleigh, NC
O20220223001960 FL Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 28 practitioners
Practice locations: Tallahassee, FL; Tampa, FL
O20220228000493 VT Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 7 practitioners
Practice locations: Barre, VT
O20220301001129 OR Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 13 practitioners
Practice locations: Portland, OR
O20220307000270 WA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 9 practitioners
Practice locations: Tumwater, WA
O20220308001846 MA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: Boston, MA
O20220310001512 IL Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 11 practitioners
Practice locations: Chicago, IL; Springfield, IL
O20220314000992 ID Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 5 practitioners
Practice locations: Boise, ID; Nampa, ID
O20220315000549 CT Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: Stamford, CT
O20220322001609 CO Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 12 practitioners
Practice locations: Littleton, CO
O20220323002415 AK Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 4 practitioners
Practice locations: Juneau, AK
O20220324000646 AR Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 14 practitioners
Practice locations: Little Rock, AR; North Little Rock, AR
O20220324001683 KS Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 7 practitioners
Practice locations: Topeka, KS
O20220324002604 AZ Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 15 practitioners
Practice locations: Gilbert, AZ; Phoenix, AZ
O20220328000672 MN Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 7 practitioners
Practice locations: Bloomington, MN; Roseville, MN
O20220328001115 MI Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 11 practitioners
Practice locations: East Lansing, MI; Troy, MI
O20220329000401 GA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: Alpharetta, GA; Peachtree Corners, GA
O20220329000994 OH Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 13 practitioners
Practice locations: Columbus, OH; Upper Arlington, OH
O20220329001025 WI Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 13 practitioners
Practice locations: Madison, WI
O20220329002134 WV Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 6 practitioners
Practice locations: Charleston, WV
O20220330001979 NY Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: New York, NY; Albany, NY
O20220330002334 KY Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 12 practitioners
Practice locations: Frankfort, KY; Lexington, KY
O20220330002447 IN Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: Indianapolis, IN
O20220331000011 VA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 14 practitioners
Practice locations: Virginia Beach, VA
O20220331000347 DE Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 6 practitioners
Practice locations: Dover, DE; Wilmington, DE
O20220405001653 TN Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 11 practitioners
Practice locations: Memphis, TN; Nashville, TN
O20220405001784 WY Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 5 practitioners
Practice locations: Cheyenne, WY
O20220406000999 LA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 9 practitioners
Practice locations: Baton Rouge, LA; New Orleans, LA
O20220408001490 UT Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: Salt Lake City, UT; St George, UT
O20220412001297 NH Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 7 practitioners
Practice locations: Concord, NH
O20220412002311 SD Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 4 practitioners
Practice locations: Pierre, SD
O20220418001265 OK Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 8 practitioners
Practice locations: Oklahoma City, OK
O20220420000801 TX Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 15 practitioners
Practice locations: Austin, TX; Sugar Land, TX
O20220420001876 HI Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 6 practitioners
Practice locations: Honolulu, HI
O20220421001105 SC Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 12 practitioners
Practice locations: North Charleston, SC
O20220421001919 NM Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Fe, NM
O20220421002122 NJ Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 9 practitioners
Practice locations: Ewing, NJ
O20220421002221 MT Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 4 practitioners
Practice locations: Helena, MT; Billings, MT
O20220425000196 MD Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 9 practitioners
Practice locations: Baltimore, MD
O20220425001246 ME Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 4 practitioners
Practice locations: Portland, ME; Augusta, ME
O20220425002256 DC Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 5 practitioners
Practice locations: Washington, DC
O20220426001319 NE Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 10 practitioners
Practice locations: Lincoln, NE; Omaha, NE
O20220426001639 ND Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 4 practitioners
Practice locations: Bismarck, ND; Grand Forks, ND
O20220426002274 RI Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 6 practitioners
Practice locations: Warwick, RI
O20220502000027 PA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 13 practitioners
Practice locations: Allentown, PA
O20220506000525 NV Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 7 practitioners
Practice locations: Carson City, NV
O20220523000712 IA Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 8 practitioners
Practice locations: Des Moines, IA
O20220526002098 MO Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 9 practitioners
Practice locations: Jefferson City, MO; Saint Louis, MO
O20220531000326 MS Part B Supplier - Clinic/Group Practice 1355770157 Receives reassigned benefits from 5 practitioners
Practice locations: Madison, MS

National Provider Directory

National Provider Directory

Locations

600 Boulevard South SW
Ste 104U
Huntsville, AL 35802

201 California St
Ste 1300
San Francisco, CA 94111

401 Folsom St
Fl 1
San Francisco, CA 94105

501 Folsom St
San Francisco, CA 94105
Phone (866) 764-7330

501 Folsom St
Fl 1
San Francisco, CA 94105

100 Pearl St
Fl 17
Hartford, CT 06103

1201 Hays St
Fl 1
Tallahassee, FL 32301

11175 Cicero Dr
Ste 191
Alpharetta, GA 30022

2 Sun Ct
Peachtree Corners, GA 30092

2057 Green Bay Rd
Ste A2004
Highland Park, IL 60035

2900 SW Wanamaker Dr
Ste 204
Topeka, KS 66614
Phone (415) 742-8411

301 Dauphine St
Ste 300
New Orleans, LA 70112

755 W Big Beaver Rd
Ste 2020S
Troy, MI 48084

7900 International Dr
#3002
Bloomington, MN 55425

1925 Grand Ave
#421
Billings, MT 59102

10 Ferry St
#S313
Concord, NH 03301

123 E Marcy St
Ste 101
Santa Fe, NM 87501

1201 Dublin Rd
#609
Columbus, OH 43215
Phone (614) 403-6182

401 NE 19th Ave
Ste 200F
Portland, OR 97232

1275 Glenlivet Dr
Ste 100622
Allentown, PA 18106
Phone (866) 603-7803

222 Jefferson Blvd
Warwick, RI 02888
Phone (401) 732-2350

503 S Pierre St
Pierre, SD 57501

5865 Ridgeway Center Pkwy
Ste 393
Memphis, TN 38120

169 W 2710 South Cir
Ste 202A50
St George, UT 84790

4445 Corporation Ln
Ste 199D
Virginia Beach, VA 23462

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1093225138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216",
            "fax_number": "415-520-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216",
            "fax_number": "415-520-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTA MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PETERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-847-8216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.virtahealth.com/",
            "affiliation": "N",
            "address_1": "201 California St Ste 1300",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941115015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Virta Medical P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.