Individual provider Active NPI

Paul V. Hathaway, NP

  • Community Health Registered Nurse
  • San Francisco, CA
National Provider Identifier
1285782920
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN367371 Issued in CA
Practice address
39 Fell St
Housing and Urban Health (SF-DPH)
San Francisco, CA 94102-5205
Phone
(415) 355-7491
Fax
(415) 355-7407
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN367371 CA Primary
Primary Care Nurse Practitioner 363LP2300X NPF398 CA

Addresses

Primary practice location

39 Fell St
Housing and Urban Health (SF-DPH)
San Francisco, CA 94102-5205

Mailing address

39 Fell St
Housing and Urban Health (SF-DPH)
San Francisco, CA 94102-5205
Phone (415) 355-7491

Other identifiers 1

IdentifierTypeStateIssuer
983338OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN367371CAMDCommunity Health Registered Nurse
NPF398CAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1285782920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FELL ST",
            "address_2": "HOUSING AND URBAN HEALTH (SF-DPH)",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025205",
            "telephone_number": "415-355-7491",
            "fax_number": "415-355-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FELL ST",
            "address_2": "HOUSING AND URBAN HEALTH (SF-DPH)",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025205",
            "telephone_number": "415-355-7491",
            "fax_number": "415-355-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "PAUL",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN367371",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NPF398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "983338",
            "state": null
        }
    ],
    "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 Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.