Individual provider Active NPI

Marina Kasavin, M.D., PH.D.

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1326015132
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A40671 Issued in CA
Practice address
2299 Post St
Suite 102
San Francisco, CA 94115-3441
Phone
(415) 561-0575
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A40671 CA Primary

Addresses

Primary practice location

2299 Post St
Suite 102
San Francisco, CA 94115-3441

Mailing address

2299 Post St
Suite 102
San Francisco, CA 94115-3441

Other identifiers 1

IdentifierTypeStateIssuer
00A406710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000373 CA Practitioner - Neurology 0547390734 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A40671CAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1326015132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "SUITE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "SUITE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153441",
            "telephone_number": "415-561-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASAVIN",
        "first_name": "MARINA",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A40671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A406710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.