Organization Active NPI

Inessa Svidler M.D., Inc

  • Primary Care Clinic/Center
  • San Francisco, CA
National Provider Identifier
1356665624
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A056364 Issued in CA
Legal business name
INESSA SVIDLER M.D., INC
Practice address
2320 Sutter St
203
San Francisco, CA 94115-3038
Phone
(415) 346-4199
Fax
(415) 931-6718
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Inessa Svidler, M.D.NPI 1215955919
Title
Owner
Phone
(415) 346-4199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A056364 CA Primary

Addresses

Primary practice location

2320 Sutter St
203
San Francisco, CA 94115-3038

Mailing address

2320 Sutter St
203
San Francisco, CA 94115-3038
Phone (415) 346-4199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000398 CA Part B Supplier - Clinic/Group Practice 6002941572 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

2320 Sutter St
Ste 203
San Francisco, CA 94115
Phone (415) 346-4199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1356665624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST",
            "address_2": "203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153038",
            "telephone_number": "415-346-4199",
            "fax_number": "415-931-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST",
            "address_2": "203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153038",
            "telephone_number": "415-346-4199",
            "fax_number": "415-931-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INESSA SVIDLER M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "SVIDLER",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-346-4199",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A056364",
            "primary": true
        }
    ],
    "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 Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.