NPIMap

Individual provider Active NPI

Charles Allison, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1376541060
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C33715 Issued in CA
Practice address
1 Shrader St
Suite 640
San Francisco, CA 94117-1016
Phone
(415) 752-0100
Fax
(415) 752-7103
NPI assigned
Jul 7, 2005
Reactivated
Mar 29, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C33715 CA Primary

Addresses

Primary practice location

1 Shrader St
Suite 640
San Francisco, CA 94117-1016

Mailing address

1 Shrader St
Suite 640
San Francisco, CA 94117-1016
Phone (415) 752-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000732 CA Practitioner - Internal Medicine 9931260437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Doctors Medical Group, IncGroup PAC ID 5991756777, 8 clinicians
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

1 Shrader St
Suite 640
San Francisco, CA 94117-1018
Phone (415) 752-0100

2235 Hayes St
FL 5
San Francisco, CA 94117-1012
Phone (415) 750-5500

2235 Hayes St
FL 5
San Francisco, CA 94117-1082

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33715CAMDClinical Social Worker
C33715CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Jan 1, 2008 Accepting new patients
UCSF Health Community Hospitals CurrentSince Jan 1, 2008 Accepting new patients
Mercy Doctors Medical Group Inc Internal Medicine CurrentSince May 1, 2008 Accepting new patients
Samsonov M.D. Medical Corporation Past Accepting new patients
Lakeside Dermatology - a Professional Medical Corporation PastSince Aug 30, 2011 Accepting new patients

Locations

1 Shrader St
Ste 640
San Francisco, CA 94117
Phone (415) 422-0000

2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Organizations & group practices 5

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 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1376541060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 640",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-752-0100",
            "fax_number": "415-752-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 640",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-752-0100",
            "fax_number": "415-752-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-09-10",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C33715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.