Active NPI
Novis Corporation
- Prosthetic/Orthotic Supplier
- San Francisco, CA
National Provider Identifier
1306820873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- C17444
- Legal business name
- NOVIS CORPORATION
- Practice address
- 1712 Divisadero St
San Francisco, CA 94115-3012 - Phone
- (415) 440-0444
- Fax
- (415) 440-0441
- NPI assigned
- Nov 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Vaysberg, CPED
- Title
- President
- Phone
- (415) 440-0444
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | 1433 | MN | |
| Prosthetic/Orthotic Supplier | 335E00000X | C17444 | MD | Primary |
Addresses
Primary practice location
1712 Divisadero St
San Francisco, CA 94115-3012
Mailing address
1712 Divisadero St
San Francisco, CA 94115-3012
Phone (415) 440-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03317F | Medicaid | CA |
Other names 1
- Round Medical Supply & Uniforms
National Provider Directory
National Provider DirectoryLocations
1712 Divisadero St
San Francisco, CA 94115
Phone (415) 440-0444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1306820873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153012",
"telephone_number": "415-440-0444",
"fax_number": "415-440-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153012",
"telephone_number": "415-440-0444",
"fax_number": "415-440-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVIS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "VAYSBERG",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-440-0444",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPED"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MN",
"license": "1433",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MD",
"license": "C17444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME03317F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Round Medical Supply & Uniforms",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.