Active NPI
Thomas Earl Addison, MD
- Pulmonary Disease Physician
- San Francisco, CA
National Provider Identifier
1154494599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- C36097
- Practice address
- 2238 Geary Blvd
San Francisco, CA 94115-3416 - Phone
- (415) 833-3692
- Fax
- (415) 833-8530
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | C36097 | CA | Primary |
Addresses
Primary practice location
2238 Geary Blvd
San Francisco, CA 94115-3416
Mailing address
2238 Geary Blvd
San Francisco, CA 94115-3416
Phone (415) 833-3692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36097 | CA | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154494599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 GEARY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153416",
"telephone_number": "415-833-3692",
"fax_number": "415-833-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2238 GEARY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153416",
"telephone_number": "415-833-3692",
"fax_number": "415-833-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDISON",
"first_name": "THOMAS",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "C36097",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.