Individual provider Active NPI

Victor De la Rocha

  • Specialist
  • San Francisco, CA
National Provider Identifier
1164063905
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
815 Hyde St Ste 100
San Francisco, CA 94109-5998
Phone
(415) 673-5700
NPI assigned
Oct 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

815 Hyde St Ste 100
San Francisco, CA 94109-5998

Mailing address

815 Hyde St Ste 100
San Francisco, CA 94109-5998
Phone (415) 673-5700

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Street Community Services, Inc CurrentSince Oct 6, 2019 Accepting new patients

Locations

815 Hyde St
Ste 100
San Francisco, CA 94109
Phone (415) 440-0004

Organizations & group practices 1

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1164063905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HYDE ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095998",
            "telephone_number": "415-673-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HYDE ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095998",
            "telephone_number": "415-673-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROCHA",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Oct 2, 2019; 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.