MP McAndrew Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MP MCANDREW INC

Practice address

1555 Yosemite Ave
Ste 22
San Francisco, CA 94124-3268

Phone

(415) 631-2571

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

James N Icken

Title

Ceo/President

Phone

(415) 631-2571

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1154650265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR",
            "address_2": "STE 220",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 YOSEMITE AVE",
            "address_2": "STE 22",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243268",
            "telephone_number": "415-631-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP MCANDREW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "ICKEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "415-631-2571"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn L Moyer, D.D.S.
• Thomas Edward Moyer, D.D.S.
• Sara Grand Mozaffarian, NURSE PRACTITIONER
• Mozaic Care, Inc.
• Michele Mozelsio, P.A.
• Anthony Paul Mrgudich, M.D.
• Mariam Mroweh, MD
• Mt Sinai Medical Center
• Mt. St. Joseph-St. Elizabeth
• Amy Mu

• Dermatology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.