Individual provider Active NPI

Jeffrey L Halbrecht, MD, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1235211145
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G65796 Issued in CA
Practice address
2100 Webster St
Suite 331
San Francisco, CA 94115-2373
Phone
(415) 923-0944
Fax
(415) 923-5896
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X G65796 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G65796 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G65796 CA Primary

Addresses

Primary practice location

2100 Webster St
Suite 331
San Francisco, CA 94115-2373

Mailing address

PO Box 39000
Dept# 33373
San Francisco, CA 94139-3373
Phone (415) 923-0944

Other identifiers 3

IdentifierTypeStateIssuer
00G657960OtherCABLUE CROSS, BLUE SHIELD
00G657960MedicaidCA
197167000OtherUS DEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000373 CA Practitioner - Orthopedic Surgery 9234104704 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65796CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Crest Orthopedics PC Specialist CurrentSince May 30, 1989 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2100 Webster St
Ste 331
San Francisco, CA 94115
Phone (415) 600-7892

3000 California St
#3
San Francisco, CA 94115
Phone (415) 292-9528

2205 Post St
San Francisco, CA 94115
Phone (315) 256-4903

Organizations & group practices 4

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1235211145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39000",
            "address_2": "DEPT# 33373",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941393373",
            "telephone_number": "415-923-0944",
            "fax_number": "415-923-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 331",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-0944",
            "fax_number": "415-923-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBRECHT",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "MD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G65796",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G65796",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G65796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD",
            "identifier": "00G657960",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G657960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "197167000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.