Individual provider Active NPI

Adrienne Rachael Trustman, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1356566699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A99412 Issued in CA
Practice address
1001 Potrero Ave
BLDG 80-83
San Francisco, CA 94110-3518
Phone
(415) 206-8610
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A99412 CA Primary

Addresses

Primary practice location

1001 Potrero Ave
BLDG 80-83
San Francisco, CA 94110-3518

Mailing address

1805 Church St
San Francisco, CA 94131-2763
Phone (336) 287-8786

Other identifiers 1

IdentifierTypeStateIssuer
A99412OtherCASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170321000083 MD Order and Referring Only - Family PracticePractitioner - Family Practice 5890833065

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care for the Homeless, IncGroup PAC ID 1456452382, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

421 Fallsway
Baltimore, MD 21202-4800
Phone (410) 837-5533

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99412CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco Past Accepting new patients
Health Care for the Homeless, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adrienne.trustman.1@23840.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356566699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CHURCH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312763",
            "telephone_number": "336-287-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "BLDG 80-83",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSTMAN",
        "first_name": "ADRIENNE",
        "middle_name": "RACHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A99412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A99412",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.