Individual provider Active NPI

Michael Wayne Wachter, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1235306564
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G076765 Issued in CA
Practice address
1700 Pierce St Ste 305
San Francisco, CA 94115-6115
Phone
(415) 922-0221
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G076765 CA Primary

Addresses

Primary practice location

1700 Pierce St Ste 305
San Francisco, CA 94115-6115

Mailing address

1700 Pierce St Ste 305
San Francisco, CA 94115-6115
Phone (415) 922-0221

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
I20080806000792 CA Practitioner - Psychiatry 4688748700 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G076765CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Sep 9, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 8, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 8, 2024 Accepting new patients
University of California San Francisco CurrentSince Sep 9, 2024 Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince May 22, 2021 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

Interoperability endpoints

  • Direct secure messaging: mwachter30710@direct-ucsfmedicalcenter.org

Organizations & group practices 6

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1235306564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PIERCE ST STE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941156115",
            "telephone_number": "415-922-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PIERCE ST STE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941156115",
            "telephone_number": "415-922-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G076765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.