Individual provider Active NPI

Denise Main, M.D.

  • Maternal & Fetal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1356363154
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G60240 Issued in CA
Practice address
1100 Van Ness Ave FL 4
San Francisco, CA 94109-6978
Phone
(415) 600-6400
Fax
(415) 369-1384
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X G60240 CA Primary
Pediatrics Physician 208000000X 387929 CA
Clinical Genetics (M.D.) Physician 207SG0201X G60240 CA

Addresses

Primary practice location

1100 Van Ness Ave FL 4
San Francisco, CA 94109-6978

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-6400

Other practice location 1

3700 California St
1st Floor
San Francisco, CA 94118-1618
Phone (415) 600-6400

Other practice location 2

5730 Telegraph Ave Ste 117
Oakland, CA 94609-1710
Phone (415) 600-6400

Other practice location 3

165 Rowland Way Ste 201
Novato, CA 94945-5055
Phone (415) 600-6400

Other practice location 4

990 Sonoma Ave Ste 9
Santa Rosa, CA 95404-4813
Phone (415) 600-6400

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
G60240CAMDMaternal & Fetal Medicine Physician
387929CAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: dmain46010@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1356363154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096978",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 California St",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181618",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5730 Telegraph Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091710",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Rowland Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455055",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Sonoma Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044813",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIN",
        "first_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G60240",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "387929",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "G60240",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 15, 2021; 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.