Individual provider Active NPI

Kamal Al-Eryani Al-Eryani, DDS, PHD

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1356860290
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS101402 Issued in CA
Practice address
513 Parnassus Ave # 722
San Francisco, CA 94143-2205
Phone
(415) 476-2045
NPI assigned
Sep 12, 2017
Last updated
Jul 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS101402 CA Primary

Addresses

Primary practice location

513 Parnassus Ave # 722
San Francisco, CA 94143-2205

Mailing address

513 Parnassus Ave., S-722, Box 0658
San Francisco, CA 94143-2205

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
I20180220002778 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6608137310 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Oral Medicine ClinicGroup PAC ID 2062498926, 6 clinicians

Practice addresses (Care Compare)

1635 Divisadero St
Suite 625 Box 1821
San Francisco, CA 94143

1975 4TH St
San Francisco, CA 94158-2351
Phone (415) 353-3000

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

513 Parnassus Ave
San Francisco, CA 94143-2205
Phone (415) 476-2045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DDS101402CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Verdugo Hills Pharmacy Inc CurrentSince Dec 11, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 28, 2022 Accepting new patients
UCSF Oral Medicine Clinic General Practice CurrentSince Jun 28, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 28, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 28, 2022 Accepting new patients
UCSF Oral & Maxillofacial Surgery CurrentSince Jun 28, 2022 Accepting new patients
University of Southern California General Practice CurrentSince Dec 11, 2017 Accepting new patients
University of California San Francisco CurrentSince Jun 28, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

925 W 34th St
Rm 151
Los Angeles, CA 90089
Phone (213) 740-3410

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

513 Parnassus Ave
#722
San Francisco, CA 94143
Phone (415) 476-2045

513 Parnassus Ave
#S722
San Francisco, CA 94143

513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045

Interoperability endpoints

  • Direct secure messaging: kaleryani247387@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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 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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1356860290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE., S-722, BOX 0658",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE # 722",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432205",
            "telephone_number": "415-476-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ERYANI",
        "first_name": "KAMAL",
        "middle_name": "AL-ERYANI",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.