NPIMap

Organization Active NPI

Pacific Vision Management LLC

  • Ambulatory Surgical Clinic/Center
  • San Fransico, CA
National Provider Identifier
1306512678
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PACIFIC VISION MANAGEMENT LLC
Practice address
1 Daniel Burnham CT
Ste 170C
San Fransico, CA 94133
Phone
(415) 922-9500
NPI assigned
Aug 18, 2021
Last updated
Sep 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Gene Faktorovich
Title
Administrator
Phone
(415) 922-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1 Daniel Burnham CT
Ste 170C
San Fransico, CA 94133

Mailing address

1 Daniel Burnham CT
Ste 110
San Fransico, CA 94133

National Provider Directory

National Provider Directory

Locations

1 Daniel Burnham Ct
Ste 170C
San Francisco, CA 94109
Phone (415) 922-9500

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1306512678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "address_2": "STE 110",
            "city": "SAN FRANSICO",
            "state": "CA",
            "postal_code": "94133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "address_2": "STE 170C",
            "city": "SAN FRANSICO",
            "state": "CA",
            "postal_code": "94133",
            "telephone_number": "415-922-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC VISION MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "FAKTOROVICH",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-922-9500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fransico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.