Individual provider Active NPI

Diane V Havlir, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1114034915
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G57011 Issued in CA
Practice address
995 Potrero Ave
BLDG 80 Ward 84
San Francisco, CA 94110-3518
Phone
(415) 476-4082
Fax
(415) 502-2992
NPI assigned
Aug 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G57011 CA Primary
Infectious Disease Physician 207RI0200X G57011 CA

Addresses

Primary practice location

995 Potrero Ave
BLDG 80 Ward 84
San Francisco, CA 94110-3518

Mailing address

PO Box 7464
San Francisco, CA 94120-7464
Phone (415) 206-3103

Other identifiers 1

IdentifierTypeStateIssuer
00G570110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081203000582 CA Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Medical Oncology 5092876466 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G57011CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jul 1, 2002 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Infectious Disease CurrentSince Jun 3, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 21, 2003 Accepting new patients
City and County of San Francisco CurrentSince Oct 26, 2019 Accepting new patients
City & County of San Francisco CurrentSince Oct 26, 2019 Accepting new patients
University of California SFGH Medical Group Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 30
San Francisco, CA 94110
Phone (415) 206-5438

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

995 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (415) 206-8611

Organizations & group practices 9

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114034915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207464",
            "telephone_number": "415-206-3103",
            "fax_number": "415-206-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE",
            "address_2": "BLDG 80 WARD 84",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-476-4082",
            "fax_number": "415-502-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVLIR",
        "first_name": "DIANE",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G57011",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G57011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G570110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.