Active NPI
David Jesitus
- Pharmacist
- San Francisco, CA
National Provider Identifier
1205171485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57039
- Practice address
- 2100 Webster St Ste 225
San Francisco, CA 94115-2376 - Phone
- (415) 923-3012
- NPI assigned
- Nov 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57039 | CA | Primary |
| Pharmacist | 183500000X | 03318325 | OH |
Addresses
Primary practice location
2100 Webster St Ste 225
San Francisco, CA 94115-2376
Mailing address
739 Walavista Avenue
Oakland, CA 94610
Phone (415) 571-5123
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57039 | CA | MD | Pharmacist |
| 03318325 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1205171485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 WALAVISTA AVENUE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "415-571-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST STE 225",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152376",
"telephone_number": "415-923-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESITUS",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57039",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03318325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
- Jerome Goldstein MD a Professional Corp
- Jerome Goldstein MD a Professional Corporation
- Jerome M. Weiss, M.D., Inc.
- Jerome Nicholas Jew
- Randy C Jerrett
- Stephanie J Jeske, MD, MSC
- Jenni R. Jespersen, MA, ATC
- Jess H. Ghannam, PHD, Inc.
- Jessica Herbold PHD Clinical Psychology Practice, Inc.
- Jessica Jones Nutrition, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.