Individual provider Active NPI

Jessica Shahpar, NP

  • Primary Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1295166403
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95000501 Issued in CA
Practice address
535 Mission St Ste 100
San Francisco, CA 94105-3223
Phone
(415) 291-0480
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN208844 GA
Primary Care Nurse Practitioner 363LP2300X 743288 NY
Primary Care Nurse Practitioner 363LP2300X 95000501 CA Primary

Addresses

Primary practice location

535 Mission St Ste 100
San Francisco, CA 94105-3223

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Phone (770) 874-5446

Other practice location 2

794 Union St
Brooklyn, NY 11215-1307
Phone (212) 624-1077

Other practice location 3

201 Spear St Ste 230
San Francisco, CA 94105-1632
Phone (415) 503-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180126000969 NY Practitioner - Nurse Practitioner 7517190812 Reassigns benefits to 1 organization
I20190527000027 CA Practitioner - Nurse Practitioner 7517190812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

110 Sutter St
Suite 6
San Francisco, CA 94104-4020
Phone (888) 663-6331

535 Mission St
San Francisco, CA 94105-2997
Phone (415) 590-6275

559 Clay St
Suite 200
San Francisco, CA 94111-3029
Phone (888) 663-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN208844GAMDNurse Practitioner
95021772CAMDFamily Nurse Practitioner
743288NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc CurrentSince Jun 17, 2019 Accepting new patients
One Medical Group, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

201 Spear St
Ste 230
San Francisco, CA 94105
Phone (415) 503-9277

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

Organizations & group practices 4

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": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1295166403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MISSION ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053223",
            "telephone_number": "415-291-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 New Northside Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285834",
            "country_code": "US",
            "telephone_number": "770-874-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "794 Union St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112151307",
            "country_code": "US",
            "telephone_number": "212-624-1077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Spear St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941051632",
            "country_code": "US",
            "telephone_number": "415-503-9277",
            "fax_number": "415-291-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHPAR",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN208844",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "743288",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95000501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.