Individual provider Active NPI

Peter Chansky, MD

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1356846588
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A178808 Issued in CA
Practice address
3838 California St RM 610
San Francisco, CA 94118-1508
Phone
(415) 387-8007
Fax
(415) 387-8008
NPI assigned
Mar 28, 2018
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A178808 CA Primary

Addresses

Primary practice location

3838 California St RM 610
San Francisco, CA 94118-1508

Mailing address

3838 California St RM 610
San Francisco, CA 94118-1508
Phone (415) 387-8007

Other practice location 1

1800 Sullivan Ave Rm 403
Daly City, CA 94015-2224
Phone (650) 994-3238

Other practice location 2

2555 Ocean Ave Ste 203
San Francisco, CA 94132-1645
Phone (415) 921-3322

Other practice location 3

45 Castro St Ste 332
San Francisco, CA 94114-1019
Phone (415) 861-2600

Other practice location 4

2001 Union St Ste 520
San Francisco, CA 94123-4110
Phone (415) 922-3344

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
I20220818001414 CA Practitioner - Dermatology 4688907041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

1800 Sullivan Ave
Daly City, CA 94015-2224
Phone (650) 994-3238

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as individual
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions673
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178808CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatology CurrentSince Sep 1, 2022 Accepting new patients

Locations

1800 Sullivan Ave
Rm 403
Daly City, CA 94015
Phone (650) 994-3238

2001 Union St
Ste 520
San Francisco, CA 94123
Phone (415) 354-5649

2555 Ocean Ave
Ste 203
San Francisco, CA 94132
Phone (415) 585-8788

3838 California St
Rm 610
San Francisco, CA 94118
Phone (415) 387-8007

45 Castro St
Ste 332
San Francisco, CA 94114
Phone (415) 861-2600

909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887

136 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-1242

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pchansky@csinorthca.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1356846588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 610",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181508",
            "telephone_number": "415-387-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 610",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181508",
            "telephone_number": "415-387-8007",
            "fax_number": "415-387-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Sullivan Ave Rm 403",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152224",
            "country_code": "US",
            "telephone_number": "650-994-3238",
            "fax_number": "650-991-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 Ocean Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321645",
            "country_code": "US",
            "telephone_number": "415-921-3322",
            "fax_number": "415-333-8296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Castro St Ste 332",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941141019",
            "country_code": "US",
            "telephone_number": "415-861-2600",
            "fax_number": "415-861-8627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Union St Ste 520",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941234110",
            "country_code": "US",
            "telephone_number": "415-922-3344",
            "fax_number": "415-921-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANSKY",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A178808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.