Individual provider Active NPI

Phyllis Tien

  • Infectious Disease Physician
  • San Francisco, CA
National Provider Identifier
1346358835
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G077758 Issued in CA
Practice address
4150 Clement St
Infectious Diseases Section 111W
San Francisco, CA 94121-1545
Phone
(415) 221-4810
Fax
(415) 379-5523
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G077758 CA Primary

Addresses

Primary practice location

4150 Clement St
Infectious Diseases Section 111W
San Francisco, CA 94121-1545

Mailing address

4150 Clement St
Infectious Diseases Section 111W
San Francisco, CA 94121-1545
Phone (415) 221-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77758CAMDDental Assistant
G077758CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
Regents of the University of California Infectious Disease CurrentSince Jan 26, 2022 Accepting new patients
University of California San Francisco CurrentSince Jan 26, 2022 Accepting new patients
University of California San Francisco CurrentSince Jan 26, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 26, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 26, 2022 Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

4150 Clement St
#111W
San Francisco, CA 94121

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1346358835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "address_2": "INFECTIOUS DISEASES SECTION 111W",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211545",
            "telephone_number": "415-221-4810",
            "fax_number": "415-379-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "address_2": "INFECTIOUS DISEASES SECTION 111W",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211545",
            "telephone_number": "415-221-4810",
            "fax_number": "415-379-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEN",
        "first_name": "PHYLLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G077758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.