Active NPI
Richard R. Tavernetti, M.D., Inc
- Adult Reconstructive Orthopaedic Surgery Physician
- San Francisco, CA
National Provider Identifier
1215083035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- A23135
- Legal business name
- RICHARD R. TAVERNETTI, M.D., INC
- Practice address
- 2100 Webster St
Suite 115
San Francisco, CA 94115-2373 - Phone
- (415) 923-3033
- Fax
- (415) 923-3083
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Roland Tavernetti, M.D.
- Title
- Owner
- Phone
- (415) 923-3033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | A23135 | CA | Primary |
Addresses
Primary practice location
2100 Webster St
Suite 115
San Francisco, CA 94115-2373
Mailing address
2100 Webster St
Suite 115
San Francisco, CA 94115-2373
Phone (415) 923-3033
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558452151 | Other | CA | NPI FOR INDIVIDUAL |
| 00A231350 | Other | CA | PRIVATE HEALTH INS CARRIE |
| 00A231350 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1558452151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1215083035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "SUITE 115",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "415-923-3033",
"fax_number": "415-923-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "SUITE 115",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "415-923-3033",
"fax_number": "415-923-3083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD R. TAVERNETTI, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "TAVERNETTI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ROLAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-923-3033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "A23135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR INDIVIDUAL",
"identifier": "1558452151",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTH INS CARRIE",
"identifier": "00A231350",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A231350",
"state": "CA"
}
],
"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 Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.