Active NPI
Tiantian Qin
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1245932201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A211502
- Practice address
- 1545 Divisadero St # 2
San Francisco, CA 94143-3400 - Phone
- (415) 353-7900
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A211502 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1545 Divisadero St # 2
San Francisco, CA 94143-3400
Mailing address
275 W Macarthur Blvd
Oakland, CA 94611-5641
Other practice location 1
275 W MacArthur Blvd
Oakland, CA 94611-5641
Phone (510) 752-1000
Other practice location 2
1545 Divisadero St # 2
San Francisco, CA 94143-3400
Phone (415) 353-7900
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240731001134 | CA | Order and Referring Only - Internal Medicine | 2961949615 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1245932201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W MACARTHUR BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 DIVISADERO ST # 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941433400",
"telephone_number": "415-353-7900"
}
],
"practiceLocations": [
{
"address_1": "275 W MacArthur Blvd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946115641",
"country_code": "US",
"telephone_number": "510-752-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1545 Divisadero St # 2",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941433400",
"country_code": "US",
"telephone_number": "415-353-7900",
"fax_number": "415-353-2405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QIN",
"first_name": "TIANTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A211502",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Sep 16, 2026; 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.