Active NPI
Georg Wieselthaler, M.D.
- Specialist
- San Francisco, CA
National Provider Identifier
1366713893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SFP000019
- Practice address
- 400 Parnassus Ave
Sixth Floor
San Francisco, CA 94143-0118 - Phone
- (415) 353-1606
- Fax
- (415) 353-1312
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SFP000019 | CA | Primary |
Addresses
Primary practice location
400 Parnassus Ave
Sixth Floor
San Francisco, CA 94143-0118
Mailing address
500 Parnassus Ave
Mu West - 4TH Floor
San Francisco, CA 94143-0118
Phone (415) 353-8890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SFP000019 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1366713893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PARNASSUS AVE",
"address_2": "MU WEST - 4TH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430118",
"telephone_number": "415-353-8890",
"fax_number": "415-353-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE",
"address_2": "SIXTH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430118",
"telephone_number": "415-353-1606",
"fax_number": "415-353-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESELTHALER",
"first_name": "GEORG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "SFP000019",
"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 Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.