Active NPI
Jean Philippe Tres, NP
- Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1104478700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95102209
- Practice address
- 601 Van Ness Ave Ste E3619
San Francisco, CA 94102-3200 - Phone
- (415) 369-1240
- Fax
- (415) 369-1240
- NPI assigned
- Jul 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95102209 | CA | Primary |
Addresses
Primary practice location
601 Van Ness Ave Ste E3619
San Francisco, CA 94102-3200
Mailing address
601 Van Ness Ave Ste E3619
San Francisco, CA 94102-3200
Phone (781) 430-8128
Other practice location 1
497 E Calaveras Blvd
Milpitas, CA 95035-5490
Phone (707) 938-3131
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95102209 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Health Ctr Pharmacy | Past | Accepting new patients |
Interoperability endpoints
- jolivares426508@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Rohnert Park, CA
- NPI 1699838763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1104478700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 VAN NESS AVE STE E3619",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023200",
"telephone_number": "781-430-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 VAN NESS AVE STE E3619",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023200",
"telephone_number": "415-369-1240",
"fax_number": "415-369-1240"
}
],
"practiceLocations": [
{
"address_1": "497 E Calaveras Blvd",
"address_purpose": "LOCATION",
"city": "Milpitas",
"state": "CA",
"postal_code": "950355490",
"country_code": "US",
"telephone_number": "707-938-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRES",
"first_name": "JEAN PHILIPPE",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-12",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95102209",
"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 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.