NPIMap

Organization Active NPI

Discover Health Medical Group 2, Inc.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1124668660
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DISCOVER HEALTH MEDICAL GROUP 2, INC.
Practice address
990 Columbus Ave
San Francisco, CA 94133-2310
Phone
(707) 255-8825
Fax
(707) 252-9325
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Dr. Oded Herbsman, MDNPI 1083632582
Title
President
Phone
(707) 255-8825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

990 Columbus Ave
San Francisco, CA 94133-2310

Mailing address

3010 Beard Rd
Napa, CA 94558-3442
Phone (707) 255-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200922003152 CA Part B Supplier - Clinic/Group Practice 1759709843 Receives reassigned benefits from 9 practitioners
Practice locations: Carmichael, CA; Napa, CA; Sacramento, CA; Santa Barbara, CA
O20230905003066 WA Part B Supplier - Clinic/Group Practice 1759709843 Receives reassigned benefits from 4 practitioners
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

2400 Bath St
Ste 202
Santa Barbara, CA 93105
Phone (805) 682-3771

2950 Northup Way
Ste 210
Bellevue, WA 98004
Phone (425) 284-3377

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10147/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1124668660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583442",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 COLUMBUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332310",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER HEALTH MEDICAL GROUP 2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "HERBSMAN",
        "authorized_official_first_name": "ODED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-255-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.