Active NPI
Timothy R Hamill, MD
- Clinical Pathology/Laboratory Medicine Physician
- San Francisco, CA
National Provider Identifier
1124083944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- G54149
- Practice address
- 185 Berry St Suite 290
UCSF Clinical Laboratory at China Basin
San Francisco, CA 94107 - Phone
- (415) 353-1723
- Fax
- (415) 353-4767
- NPI assigned
- Apr 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | G54149 | CA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | G54149 | CA | Primary |
Addresses
Primary practice location
185 Berry St Suite 290
UCSF Clinical Laboratory at China Basin
San Francisco, CA 94107
Mailing address
185 Berry St Suite 290
UCSF Clinical Laboratory at China Basin
San Francisco, CA 94107
Phone (415) 353-1723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0G5414900 | Medicaid | CA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54149 | CA | MD | Hematology (Pathology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1124083944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 BERRY ST SUITE 290",
"address_2": "UCSF CLINICAL LABORATORY AT CHINA BASIN",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94107",
"telephone_number": "415-353-1723",
"fax_number": "415-353-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 BERRY ST SUITE 290",
"address_2": "UCSF CLINICAL LABORATORY AT CHINA BASIN",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94107",
"telephone_number": "415-353-1723",
"fax_number": "415-353-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILL",
"first_name": "TIMOTHY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "CA",
"license": "G54149",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "G54149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0G5414900",
"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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.