Active NPI
Denise Main, M.D.
- Maternal & Fetal Medicine Physician
- San Francisco, CA
National Provider Identifier
1356363154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- G60240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G60240 | CA | MD | Maternal & Fetal Medicine Physician |
| 387929 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- 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.