Individual provider Active NPI

Ann K. Lanzerotti, M.D.

  • Hematology & Oncology Physician
  • San Francisco, CA
National Provider Identifier
1104227826
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G17197 Issued in CA
Practice address
3009 Clay St
San Francisco, CA 94115-1623
Phone
(415) 931-7661
Fax
(415) 931-7661
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G17197 CA Primary

Addresses

Primary practice location

3009 Clay St
San Francisco, CA 94115-1623

Mailing address

3009 Clay St
San Francisco, CA 94115-1623
Phone (415) 931-7661

Other identifiers 1

IdentifierTypeStateIssuer
G17197OtherCASTATE MEDICAL LICENSE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G17197CAMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1104227826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151623",
            "telephone_number": "415-931-7661",
            "fax_number": "415-931-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151623",
            "telephone_number": "415-931-7661",
            "fax_number": "415-931-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZEROTTI",
        "first_name": "ANN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G17197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G17197",
            "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 Sep 12, 2014; 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.