Active NPI
Katherine Wei
- Family Medicine Physician
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A159166
- Practice address
- 3110 Kerner Blvd
San Rafael, CA 94901-5411 - Phone
- (415) 448-1500
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A159166 | CA | Primary |
Addresses
Primary practice location
3110 Kerner Blvd
San Rafael, CA 94901-5411
Mailing address
465 Waller St
San Francisco, CA 94117-3418
Phone (818) 917-4008
Other practice location 1
1001 Potrero Ave Bldg 80-83
San Francisco, CA 94110-3518
Phone (415) 206-5252
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159166 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Family Medicine | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients |
Locations
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
1001 Potrero Ave
Bldg 8083
San Francisco, CA 94110
Phone (415) 206-5252
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
Interoperability endpoints
- kwei596745@direct.ochin.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1386177004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 WALLER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173418",
"telephone_number": "818-917-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 KERNER BLVD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949015411",
"telephone_number": "415-448-1500"
}
],
"practiceLocations": [
{
"address_1": "1001 Potrero Ave Bldg 80-83",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103518",
"country_code": "US",
"telephone_number": "415-206-5252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEI",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2022-10-19",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A159166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.