Individual provider Active NPI

Trever Bivona, M.D., PH.D.

  • Medical Oncology Physician
  • San Francisco, CA
National Provider Identifier
1093861346
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A119835 Issued in CA
Practice address
1600 Divisadero Street, 4TH Floor
Box 1674
San Francisco, CA 94115
Phone
(415) 353-7160
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A119835 CA Primary
Medical Oncology Physician 207RX0202X 242984 NY

Addresses

Primary practice location

1600 Divisadero Street, 4TH Floor
Box 1674
San Francisco, CA 94115

Mailing address

1600 Divisadero Street, 4TH Floor, Box 1674
San Francisco, CA 94115
Phone (415) 353-7160

Other practice location 1

1233 York Ave
Apt 6L
New York, NY 10065-6306
Phone (917) 612-6813

Other practice location 2

1233 York Ave
Apt 6L
New York, NY 10065-6306
Phone (917) 612-6813

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A119835CAMDMedical Oncology Physician
242984NYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1093861346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO STREET, 4TH FLOOR, BOX 1674",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-353-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO STREET, 4TH FLOOR",
            "address_2": "BOX 1674",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-353-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 York Ave",
            "address_2": "Apt 6L",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656306",
            "country_code": "US",
            "telephone_number": "917-612-6813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 York Ave",
            "address_2": "Apt 6L",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656306",
            "country_code": "US",
            "telephone_number": "917-612-6813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIVONA",
        "first_name": "TREVER",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A119835",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "242984",
            "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 Mar 20, 2019; 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.