Herbert J Konkoff MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A19242 Issued in CA

Legal business name

HERBERT J KONKOFF MD INC

Practice address

1739 Scott St
San Francisco, CA 94115

Phone

(415) 567-0257

Fax

(415) 789-0148

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Herbert Jerome Konkoff, MD

Title

Pres

Phone

(415) 567-0257

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306999040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 SCOTT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-567-0257",
            "fax_number": "415-789-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 SCOTT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-567-0257",
            "fax_number": "415-789-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J KONKOFF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONKOFF",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "415-567-0257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A19242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A192420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle A Hepburn, RN, FNP
• Mark Christian Heppinstall
• Jon Wyatt Hepworth, MPH
• Herban Rose LLC
• Rachel Herbers, NURSE PRACITIONER
• Aminah Akilah Herbert
• Carl Morse Herbert, M.D.
• Chesley C. Herbert, M.D.
• Denly Herbert, DDS
• Jason Dutton Herbert, MSW

• Urology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.