Individual provider Active NPI

Emily Rothbaum Perito, M.D.

  • Pediatric Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1275790040
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
A108998 Issued in CA
Practice address
500 Parnassus Ave University of California San Francisc
Mu408E, Box 0136 Pediatric Gastroenterology
San Francisco, CA 94143
Phone
(415) 476-5892
Fax
(415) 476-1343
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 245251-1 NY
Pediatric Gastroenterology Physician 2080P0206X A108998 CA Primary
Pediatrics Physician 208000000X A108998 CA

Addresses

Primary practice location

500 Parnassus Ave University of California San Francisc
Mu408E, Box 0136 Pediatric Gastroenterology
San Francisco, CA 94143

Mailing address

500 Parnassus Ave
Mu408E Box 0136
San Francisco, CA 94143
Phone (415) 476-5892

Other names 1

  • Dr. Emily Jane Rothbaum Former name

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
I20130529000908 CA Practitioner - GastroenterologyPractitioner - Pediatric Medicine 8123266319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245251-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jan 6, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 6, 2022 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

500 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-4562

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

1825 4th St
#M3262A
San Francisco, CA 94143
Phone (415) 353-1154

500 Parnassus Ave
#408E
San Francisco, CA 94143
Phone (415) 476-5892

1825 4th St
#136
San Francisco, CA 94143

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

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

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

Organizations & group practices 8

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1275790040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "address_2": "MU408E BOX 0136",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-5892",
            "fax_number": "415-476-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE UNIVERSITY OF CALIFORNIA SAN FRANCISC",
            "address_2": "MU408E, BOX 0136 PEDIATRIC GASTROENTEROLOGY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-5892",
            "fax_number": "415-476-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERITO",
        "first_name": "EMILY",
        "middle_name": "ROTHBAUM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "245251-1",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A108998",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A108998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ROTHBAUM",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.