Individual provider Active NPI

Jonathan Nordlicht, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1356529531
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G32963 Issued in CA
Practice address
1375 Sutter St Ste 308
San Francisco, CA 94109-5466
Phone
(415) 600-0140
Fax
(415) 369-1362
NPI assigned
Feb 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G32963 CA Primary

Addresses

Primary practice location

1375 Sutter St Ste 308
San Francisco, CA 94109-5466

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (415) 600-0140

Other identifiers 1

IdentifierTypeStateIssuer
G32963OtherCASTATE MEDICAL LICENSE

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
I20091109000181 CA Practitioner - Internal Medicine 6507904778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1375 Sutter St
Suite 308
San Francisco, CA 94109-5466
Phone (415) 600-0140

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, San Francisco, CA, CCN 057003
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G32963CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Bay Medical Foundation Internal Medicine Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients

Locations

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2645 Ocean Ave
Lbby 3
San Francisco, CA 94132
Phone (415) 519-3079

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

3838 California St
Fl 3
San Francisco, CA 94118
Phone (773) 543-0603

2340 Clay St
#15
San Francisco, CA 94115

1375 Sutter St
Ste 308
San Francisco, CA 94109
Phone (415) 600-0140

1100 Van Ness Ave
Fl 4
San Francisco, CA 94109
Phone (415) 600-0930

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

Interoperability endpoints

  • Direct secure messaging: jnordlicht50450@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356529531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "415-600-0140",
            "fax_number": "415-369-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 SUTTER ST STE 308",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095466",
            "telephone_number": "415-600-0140",
            "fax_number": "415-369-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDLICHT",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G32963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.