Individual provider Active NPI

Sarah Jean Ristvedt, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1194169946
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58187 Issued in MN
Practice address
101 Mission St Ste 800
San Francisco, CA 94105-1744
Phone
(800) 221-5140
Fax
(415) 231-5332
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58187 MN Primary

Addresses

Primary practice location

101 Mission St Ste 800
San Francisco, CA 94105-1744

Mailing address

PO Box 848299
Los Angeles, CA 90084-8299
Phone (415) 231-5333

Other practice location 1

210 W 2nd St
Graceville, MN 56240-7703
Phone (320) 305-6757

Other practice location 2

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20141210002344 MN Practitioner - Family Practice 4981926490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

450 Eastvold Ave
Ortonville, MN 56278-1252

Park Nicollet Health Services Credentialing
3800 Park Nicollet Blvd
St Louis Park, MN 55416

PO Box
1309 Mail Stop 21110Q
Minneapolis, MN 55440-1309

PO Box
Suite 5074
Sioux Falls, SD 57117-5074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58187MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic Family Medicine CurrentSince Jul 25, 2015 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Jul 25, 2015 Accepting new patients

Locations

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

4951 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 993-1300

Organizations & group practices 2

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1194169946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848299",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900848299",
            "telephone_number": "415-231-5333",
            "fax_number": "415-231-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MISSION ST STE 800",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051744",
            "telephone_number": "800-221-5140",
            "fax_number": "415-231-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Graceville",
            "state": "MN",
            "postal_code": "562407703",
            "country_code": "US",
            "telephone_number": "320-305-6757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Saint Olaf Ave S",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "MN",
            "postal_code": "562201433",
            "country_code": "US",
            "telephone_number": "507-223-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTVEDT",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "58187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.