Individual provider Active NPI

G. James Avery II

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1154340289
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G38981 Issued in CA
Practice address
1100 Van Ness Ave FL 5
San Francisco, CA 94109-6920
Phone
(415) 600-5780
Fax
(415) 931-0120
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G38981 CA Primary

Addresses

Primary practice location

1100 Van Ness Ave FL 5
San Francisco, CA 94109-6920

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000178 CA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6608898309 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G38981CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Feb 5, 2014 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Feb 5, 2014 Accepting new patients
Peter a Von Rogov Mda Professional Corporation Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

290 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 598-3160

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2340 Clay St
Ste 114
San Francisco, CA 94115
Phone (415) 600-1051

2340 Clay St
#2
San Francisco, CA 94115

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

2100 Webster St
Ste 300
San Francisco, CA 94115
Phone (415) 749-5743

2100 Webster St
Ste 320
San Francisco, CA 94115
Phone (415) 923-3456

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1154340289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096920",
            "telephone_number": "415-600-5780",
            "fax_number": "415-931-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "G.",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G38981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.