NPIMap

Individual provider Active NPI

Montida Caroline Fleming, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1124481015
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A152800 Issued in CA
Practice address
1001 Potrero Ave
BLDG 80-83
San Francisco, CA 94110-3518
Phone
(415) 206-5252
NPI assigned
Mar 30, 2016
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3072 TX
Family Medicine Physician 207Q00000X A152800 CA Primary

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 1

  • Montida Caroline Supanya-Fleming Former name

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
I20190725000373 CA Practitioner - Family Practice 0345576591 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyon-Martin Community Health ServicesGroup PAC ID 6103203930, 19 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152800CAMDFamily Medicine Physician
S3072TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Sep 1, 2019 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Planned Parenthood Shasta Diablo, Inc CurrentSince May 2, 2024 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City and County of San Francisco CurrentSince Nov 9, 2019 Accepting new patients
Lyon-Martin Community Health Services CurrentSince May 23, 2024 Accepting new patients
City & County of San Francisco CurrentSince Nov 9, 2019 Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince May 2, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients
Planned Parenthood Shasta Diablo Inc Current Accepting new patients
Planned Parenthood Shasta Diablo Inc PastSince May 2, 2024 Accepting new patients
South Wind Women's Center, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Jane Medical PLLC Family Medicine Past Accepting new patients
Possible Health Ca, PC Family Medicine 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

  • Direct secure messaging: montida.fleming@217526021193732.direct.elationemr.com
  • Direct secure messaging: montida.fleming@332828990373892.direct.elationemr.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1124481015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "BLDG 80-83",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "BLDG 80-83",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MONTIDA",
        "middle_name": "CAROLINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3072",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A152800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTIDA",
            "last_name": "SUPANYA-FLEMING",
            "middle_name": "CAROLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.