Montida Caroline Fleming, MD
Individual provider Active NPI Family Medicine Physician · San Francisco, CA
NPI 1124481015 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1124481015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A152800 (CA)
- Practice address
- 1001 Potrero Ave
BLDG 80-83
San Francisco, CA 94110-3518 - Phone
- (415) 206-5252
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of California SFGH Medical Group
Planned Parenthood Shasta Diablo Inc
Lyon-Martin Community Health Services
Practice addresses (Care Compare)
1001 Potrero Ave
San Francisco, CA 94110-3518
1001 Potrero Ave BLDG 80 Ward 83
Suite 32
San Francisco, CA 94110-3518
Phone (628) 206-8610
1357 Oakland CT
Walnut Creek, CA 94596-4337
Phone (925) 676-0505
1735 Mission St
San Francisco, CA 94103-2417
Phone (415) 565-7667
Hospital & facility affiliations
- Zuckerberg San Francisco General Hosp & Trauma Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.28 of 100
- Quality
- 89.92
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190725000373 | CA | Practitioner - Family Practice | 0345576591 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152800 | CA | MD | Family Medicine Physician |
| S3072 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Shasta Diablo, Inc | Current |
Accepting new patients | |
| Lyon-Martin Community Health Services | Current |
Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City and County of San Francisco | Current |
Accepting new patients | |
| University of California SFGH Medical Group | Family Medicine | Current |
Accepting new patients |
| City & County of San Francisco | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current |
Accepting new patients | |
| City & County of San Francisco | Current |
Accepting new patients | |
| University of California SFGH Medical Group | Current |
Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current | Accepting new patients | |
| Possible Health Ca, PC | Family Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Jane Medical PLLC | Family Medicine | Past | Accepting new patients |
| Planned Parenthood Shasta Diablo Inc | Past |
Accepting new patients | |
| South Wind Women'S Center, LLC | Past | Accepting new patients |
Locations
3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949
2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
1001 Potrero Ave
Bldg 8083
San Francisco, CA 94110
Phone (415) 206-5252
1357 Oakland Ct
Walnut Creek, CA 94596
Phone (925) 935-3010
Interoperability endpoints
- montida.fleming@217526021193732.direct.elationemr.com
- montida.fleming@332828990373892.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S3072 | TX | |
| Family Medicine Physician | 207Q00000X | A152800 | CA | Yes |
Addresses
Primary practice location
1001 Potrero Ave
BLDG 80-83
San Francisco, CA 94110-3518
Mailing address
1001 Potrero Ave
BLDG 80-83
San Francisco, CA 94110-3518
Other names
- Montida Caroline Supanya-Fleming
Other providers in San Francisco, CA
- Arianna Fleming
- Daniel Fleming
- Imani Fleming
- Jazz Fleming
- Lucas Arron Fleming
- Nathaniel Hamilton Fleming
- Randall Fleming
- Sean Fleming
- Teresa M Fleming
- Jennifer Flemming
All providers in San Francisco, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.