Individual provider Active NPI

Clark Santee, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1215564190
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A187946 Issued in CA
Practice address
165 Capp St
San Francisco, CA 94110-1209
Phone
(415) 510-8282
Fax
(415) 552-3998
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 A187946 CA Primary

Addresses

Primary practice location

165 Capp St
San Francisco, CA 94110-1209

Mailing address

240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-3870

Other practice location 1

240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-3870

Other practice location 2

240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-3870

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
I20231218000335 CA Practitioner - Family Practice 5496104309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
F H Netter, M.D. School of Med at Quinnipiac Univ, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Area Health AssociatesGroup PAC ID 1153302419, 21 clinicians

Practice addresses (Care Compare)

240 Shotwell St
San Francisco, CA 94110-1323
Phone 41558268172548

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187946CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: csantee663632@direct.ochin.org
  • Direct secure messaging: csantee548409@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1215564190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHOTWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101323",
            "telephone_number": "415-552-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAPP ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101209",
            "telephone_number": "415-510-8282",
            "fax_number": "415-552-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Shotwell St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941101323",
            "country_code": "US",
            "telephone_number": "415-552-3870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Shotwell St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941101323",
            "country_code": "US",
            "telephone_number": "415-552-3870",
            "fax_number": "415-552-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTEE",
        "first_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A187946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.