NPIMap

Individual provider Active NPI

Anna Pasternak

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1164990677
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95010261 Issued in CA
Practice address
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone
(650) 515-2536
NPI assigned
Nov 2, 2018
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95010261 CA Primary

Addresses

Primary practice location

1001 Potrero Ave
San Francisco, CA 94110-3518

Mailing address

350 Martins Beach Rd
Half Moon Bay, CA 94019-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125000531 CA Practitioner - Nurse Practitioner 8123450509 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010261CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Oct 17, 2023 Accepting new patients
University of California San Francisco CurrentSince May 18, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 18, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince Oct 17, 2023 Accepting new patients
UCSF Pediatrics Associates CurrentSince May 18, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 18, 2021 Accepting new patients
UCSF Dept of Surgery CurrentSince May 18, 2021 Accepting new patients
County of San Mateo CurrentSince Jan 18, 2020 Accepting new patients
City and County of San Francisco CurrentSince Sep 29, 2023 Accepting new patients
City & County of San Francisco CurrentSince Sep 29, 2023 Accepting new patients
University of California San Francisco CurrentSince May 18, 2021 Accepting new patients
County of San Mateo CurrentSince Jan 18, 2020 Accepting new patients
Regents of the University of California CurrentSince May 18, 2021 Accepting new patients
County of San Mateo CurrentSince Jan 18, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 3C34
San Francisco, CA 94110
Phone (628) 206-8934

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1164990677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MARTINS BEACH RD",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "650-515-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95010261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.