Active NPI
Edward Doo, MD
- Gastroenterology Physician
- San Francisco, CA
National Provider Identifier
1295837243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G76796
- Practice address
- 2340 Clay St
2ND Floor
San Francisco, CA 94115-1932 - Phone
- (415) 600-1111
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G76796 | CA | Primary |
Addresses
Primary practice location
2340 Clay St
2ND Floor
San Francisco, CA 94115-1932
Mailing address
Two Democracy PLZ
6707 Democracy Blvd
Bethesda, MD 20892-0001
Phone (301) 451-4524
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76796 | CA | MD | Gastroenterology Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1295837243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TWO DEMOCRACY PLZ",
"address_2": "6707 DEMOCRACY BLVD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-451-4524",
"fax_number": "301-480-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 CLAY ST",
"address_2": "2ND FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151932",
"telephone_number": "415-600-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOO",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G76796",
"primary": true
}
],
"identifiers": [],
"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 12, 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.