NPIMap

Organization Active NPI

Pair Team Medical Group of California PC

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1134838352
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PAIR TEAM MEDICAL GROUP OF CALIFORNIA PC
Practice address
95 3Rd St Ste 293
San Francisco, CA 94103-3103
Phone
(707) 207-6571
NPI assigned
Nov 16, 2022
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Nathan A Favini, MDNPI 1124381645
Title
President and Cmo
Phone
(707) 656-2069

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
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

95 3Rd St Ste 293
San Francisco, CA 94103-3103

Mailing address

2261 Market St Ste 10011
San Francisco, CA 94114-1612
Phone (707) 207-6571

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pair.team@682114225012740.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240415001099 CA Part B Supplier - Clinic/Group Practice 6709225402 Receives reassigned benefits from 29 practitioners
Practice locations: San Francisco, CA
O20260611001139 NV Part B Supplier - Clinic/Group Practice 6709225402 Receives reassigned benefits from 1 practitioner
Practice locations: Sparks, NV
O20260623002065 IL Part B Supplier - Clinic/Group Practice 6709225402 Receives reassigned benefits from 1 practitioner
Practice locations: Lombard, IL

National Provider Directory

National Provider Directory

Locations

711 S Main St
Burbank, CA 91506

1459 18th St
San Francisco, CA 94107
Phone (415) 275-2322

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1134838352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST STE 10011",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "707-207-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 3RD ST STE 293",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033103",
            "telephone_number": "707-207-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIR TEAM MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "FAVINI",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND CMO",
        "authorized_official_telephone_number": "707-656-2069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pair.team@682114225012740.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "95 3rd St Ste 293",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941033103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 30, 2026; 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.