Individual provider Active NPI

Kelly Anne Johnson, MPH/MD EXPECTED 2015

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
National Provider Identifier
1285028407
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
505 Parnassus Ave
San Francisco, CA 94143-0119
Phone
(415) 476-1528
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

505 Parnassus Ave
San Francisco, CA 94143-0119

Mailing address

111 Kiskiac Turn
Yorktown, VA 23693-2725
Phone (757) 725-3254

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
I20200626000255 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3072935683 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 4284547274, 706 clinicians
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians

Practice addresses (Care Compare)

1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-4029

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince Nov 8, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince Nov 10, 2021 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Regents of the University of California CurrentSince Jun 30, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2020 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince Nov 8, 2021 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Nov 8, 2021 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2020 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

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

400 Parnassus Ave
Fl 2
San Francisco, CA 94143
Phone (415) 353-2008

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

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

1001 Potrero Ave
Bldg 30
San Francisco, CA 94110
Phone (415) 206-5438

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

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

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

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

513 Parnassus Ave
Rm S380
San Francisco, CA 94143
Phone (415) 353-2626

Interoperability endpoints

  • Direct secure messaging: kjohnson72382@direct-ucsfmedicalcenter.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1285028407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KISKIAC TURN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932725",
            "telephone_number": "757-725-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430119",
            "telephone_number": "415-476-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "MPH/MD EXPECTED 2015",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "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.