NPIMap

Individual provider Active NPI

Edward S Kersh, MD

  • Cardiovascular Disease Physician
  • San Francisco, CA
National Provider Identifier
1114938875
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G22240 Issued in CA
Practice address
1580 Valencia St
Suite 412
San Francisco, CA 94110-4423
Phone
(415) 970-0130
NPI assigned
Aug 10, 2006
Last updated
Apr 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G22240 CA Primary

Addresses

Primary practice location

1580 Valencia St
Suite 412
San Francisco, CA 94110-4423

Mailing address

1580 Valencia St
Suite 412
San Francisco, CA 94110-4423
Phone (415) 970-0130

Other identifiers 1

IdentifierTypeStateIssuer
G22240OtherCACA MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081229000235 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668409855 Practice locations: Oakland, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G22240CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Visiting Nurse Association and Hospice PastSince Sep 4, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ekersh691455@direct.ochin.org
  • Direct secure messaging: ekersh99012@hisp.ehr.sutterhealth.org

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Care at HomeNovato, CA, CCN 057031 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeSan Francisco, CA, CCN 057003 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeSanta Rosa, CA, CCN 058189 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeConcord, CA, CCN 057004 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeRoseville, CA, CCN 057545 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeSacramento, CA, CCN 557073 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeSan Mateo, CA, CCN 058123 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeLakeport, CA, CCN 057620 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeSanta Cruz, CA, CCN 057007 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeModesto, CA, CCN 057695 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeYuba City, CA, CCN 557785 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeSalinas, CA, CCN 058307 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018
Sutter Care at HomeSaratoga, CA, CCN 757662 Home health agency Contracted Managing Employee
Operational/Managerial Control		 Sep 4, 2018
Sep 4, 2018

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

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, 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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1114938875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 412",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-970-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 412",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-970-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSH",
        "first_name": "EDWARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G22240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G22240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.