Individual provider Active NPI

Matthew Shannon Pantell, M.D., M.S.

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
National Provider Identifier
1255778619
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
UC San Francisco M691
505 Parnassus, Box 0110
San Francisco, CA 94143-0110
Phone
(415) 476-6245
NPI assigned
May 24, 2013
Last updated
May 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

UC San Francisco M691
505 Parnassus, Box 0110
San Francisco, CA 94143-0110

Mailing address

UC San Francisco M691
505 Parnassus, Box 0110
San Francisco, CA 94143-0110
Phone (415) 476-6245

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
I20160512001636 CA Practitioner - Pediatric Medicine 8921397035 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2016 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 30, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2016 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2016 Accepting new patients
City and County of San Francisco CurrentSince May 19, 2020 Accepting new patients
UCSF Pediatrics Associates CurrentSince Jul 1, 2016 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 30, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2016 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1975 4th St
Rm C5820
San Francisco, CA 94143

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
San Francisco, CA 94118
Phone (415) 514-3577

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
#110
San Francisco, CA 94143
Phone (415) 476-5001

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

Interoperability endpoints

  • Direct secure messaging: mpantell9285@direct-ucsfmedicalcenter.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1255778619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UC SAN FRANCISCO M691",
            "address_2": "505 PARNASSUS, BOX 0110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430110",
            "telephone_number": "415-476-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UC SAN FRANCISCO M691",
            "address_2": "505 PARNASSUS, BOX 0110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430110",
            "telephone_number": "415-476-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTELL",
        "first_name": "MATTHEW",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.