Individual provider Active NPI

Ilana Seidel, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1316234628
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD042771 Issued in DC
Practice address
431 Jessie St
San Francisco, CA 94103-1832
Phone
(415) 840-0560
Fax
(415) 779-8032
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD042771 DC Primary

Addresses

Primary practice location

431 Jessie St
San Francisco, CA 94103-1832

Mailing address

431 Jessie St
San Francisco, CA 94103-1832
Phone (415) 840-0560

Other practice location 1

908 New Hampshire Ave NW Ste 200
Washington, DC 20037-2334
Phone (202) 833-5055

Other identifiers 1

IdentifierTypeStateIssuer
MD042711OtherDCDC LICENSING ADMINISTRATION

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

LicenseStateTypeSpecialty
MD042771DCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316234628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 JESSIE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031832",
            "telephone_number": "415-840-0560",
            "fax_number": "415-779-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 JESSIE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031832",
            "telephone_number": "415-840-0560",
            "fax_number": "415-779-8032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 New Hampshire Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372334",
            "country_code": "US",
            "telephone_number": "202-833-5055",
            "fax_number": "202-833-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "ILANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD042771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSING ADMINISTRATION",
            "identifier": "MD042711",
            "state": "DC"
        }
    ],
    "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 Mar 17, 2018; 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.