Individual provider Active NPI

Dave Atkin, M.D.

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1174543474
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G65707 Issued in CA
Practice address
1580 Valencia St
Suite 703
San Francisco, CA 94110-4423
Phone
(415) 642-0707
Fax
(415) 550-1566
NPI assigned
Jul 20, 2006
Last updated
May 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G65707 CA Primary

Addresses

Primary practice location

1580 Valencia St
Suite 703
San Francisco, CA 94110-4423

Mailing address

PO Box 1230
Suisun City, CA 94585-1230
Phone (415) 642-0707

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
I20080325000468 CA Practitioner - Orthopedic Surgery 9537245071

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1580 Valencia St
Suite 504
San Francisco, CA 94110-4415
Phone (415) 642-0707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65707CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Orthopedics Medical Group Inc Orthopaedic Surgery CurrentSince Jan 1, 2008 Accepting new patients

Locations

1580 Valencia St
Ste 703
San Francisco, CA 94110
Phone (415) 642-0707

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1174543474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945851230",
            "telephone_number": "415-642-0707",
            "fax_number": "415-550-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 703",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-642-0707",
            "fax_number": "415-550-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKIN",
        "first_name": "DAVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G65707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.