Individual provider Active NPI

Lourdes L Gatchalian, REGISTERED NURSE

  • Registered Nurse
  • San Francisco, CA
National Provider Identifier
1104318120
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
488497 Issued in CA
Practice address
2100 Webster St Ste 112
San Francisco, CA 94115
Phone
(415) 923-3060
Fax
(415) 749-0841
NPI assigned
Jun 5, 2018
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 488497 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 112
San Francisco, CA 94115

Mailing address

2100 Webster St Ste 112
San Francisco, CA 94115-2374
Phone (415) 923-3060

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

State licenses

LicenseStateTypeSpecialty
488497CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Molly Magnano MD, Inc Past Accepting new patients
Pacific Rheumatology Associates Medical Group PastSince Jan 1, 1995 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1104318120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 112",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152374",
            "telephone_number": "415-923-3060",
            "fax_number": "415-749-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 112",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-923-3060",
            "fax_number": "415-749-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATCHALIAN",
        "first_name": "LOURDES",
        "middle_name": "L",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "488497",
            "primary": true
        }
    ],
    "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 Aug 6, 2018; 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.