Organization Active NPI

Parnassus Heights Podiatry Group

  • Podiatrist
  • San Francisco, CA
National Provider Identifier
1093727463
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
T10912 Issued in CA
Legal business name
PARNASSUS HEIGHTS PODIATRY GROUP
Practice address
1 Shrader St Ste 510
Ste 4a
San Francisco, CA 94117-1034
Phone
(415) 759-2014
Fax
(415) 759-2015
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dr. Jamie Kim, DPM
Title
Officer
Phone
(415) 759-2014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X T10912 CA Primary

Addresses

Primary practice location

1 Shrader St Ste 510
Ste 4a
San Francisco, CA 94117-1034

Mailing address

1 Shrader St Ste 510
San Francisco, CA 94117-1034
Phone (415) 759-2014

Other identifiers 1

IdentifierTypeStateIssuer
CJ8755OtherCARR MEDICARE GROUP #

National Provider Directory

National Provider Directory

Locations

2250 Hayes St
Ste 4A
San Francisco, CA 94117
Phone (415) 750-1992

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1093727463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 510",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171034",
            "telephone_number": "415-759-2014",
            "fax_number": "415-759-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 510",
            "address_2": "STE 4A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171034",
            "telephone_number": "415-759-2014",
            "fax_number": "415-759-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARNASSUS HEIGHTS PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "415-759-2014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "T10912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CJ8755",
            "state": "CA"
        }
    ],
    "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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.