Active NPI
Trever Bivona, M.D., PH.D.
- Medical Oncology Physician
- San Francisco, CA
National Provider Identifier
1093861346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- A119835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A119835 | CA | MD | Medical Oncology Physician |
| 242984 | NY | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
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- Rheumatology Physician
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- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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- NPI 1992818256
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
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.