Everett Ai, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G38984 Issued in CA

Practice address

2100 Webster St 214
San Francisco, CA 94115-2375

Phone

(415) 923-3007

Fax

(415) 923-6586

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eye Associates of Sebastopol Medical Group Inc

  • Ophthalmology Physician
  • Sebastopol, CA
  • NPI 1295729382
  Medicare reassignment NPD
• Eye Associates of Sebastopol Medical Group

  • Eyewear Supplier
  • Sebastopol, CA
  • NPI 1619012119

  Ophthalmology

  NPD
• California Pacific Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1235130618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST 214",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152375",
            "telephone_number": "415-923-3007",
            "fax_number": "415-923-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST 214",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152375",
            "telephone_number": "415-923-3007",
            "fax_number": "415-923-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AI",
        "first_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G38984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiyong Ahn
• Justin Ahn, M.D.
• Seoiyoung Ahn, MD, MS
• Trevor Maxwell Ahrendt, M.A.
• Sara Ahumada, ARNP
• Weiyun Z Ai, MD
• Eileen G. Aicardi, M.D.
• James Alfred Aicardi, PA-C
• Aidaly Care California LLC
• AIDS Health Projec

• Ophthalmology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.