Active NPI
Private Medical Services, Inc.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1093365231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRIVATE MEDICAL SERVICES, INC.
- Practice address
- 3580 California St Ste 101
San Francisco, CA 94118-1716 - Phone
- (415) 830-3090
- Fax
- (415) 520-5191
- NPI assigned
- Sep 19, 2019
- Last updated
- Jan 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan L Shlain, MD
- Title
- Ceo
- Phone
- (415) 830-3090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
3580 California St Ste 101
San Francisco, CA 94118-1716
Mailing address
3580 California St Ste 101
San Francisco, CA 94118-1716
Phone (415) 830-3090
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1790859270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674777600000",
"number": "1093365231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 CALIFORNIA ST STE 101",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181716",
"telephone_number": "415-830-3090",
"fax_number": "415-504-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 CALIFORNIA ST STE 101",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181716",
"telephone_number": "415-830-3090",
"fax_number": "415-520-5191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVATE MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A",
"authorized_official_last_name": "SHLAIN",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-830-3090",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.