Individual provider Active NPI

Nathan A Favini, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1124381645
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A135758 Issued in CA
Practice address
180 Sutter St
San Francisco, CA 94104
Phone
(415) 349-0850
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A135758 CA Primary

Addresses

Primary practice location

180 Sutter St
San Francisco, CA 94104

Mailing address

660 4TH St # 202
San Francisco, CA 94107-1618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160120000487 CA Practitioner - Internal Medicine 5698078954 Reassigns benefits to 3 organizations
I20260406001167 TX Practitioner - Internal Medicine 5698078954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvey Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health System 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135758CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Jun 30, 2024 Accepting new patients
Pair Team Medical Group of California PC CurrentSince Feb 22, 2024 Accepting new patients
Alameda Health System CurrentSince Jun 30, 2024 Accepting new patients
Pair Team Medical Group, P.a. Internal Medicine CurrentSince Dec 5, 2023 Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1325 J St
Ste 1550
Sacramento, CA 95814
Phone (415) 320-7541

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

16510 Northchase Dr
Houston, TX 77060
Phone (346) 442-6856

Interoperability endpoints

  • Direct secure messaging: nfavini131446@alamedahs.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1124381645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 4TH ST # 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94104",
            "telephone_number": "415-349-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVINI",
        "first_name": "NATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.