Axiom Medical Group, a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C050117 Issued in CA

Legal business name

AXIOM MEDICAL GROUP, A PROFESSIONAL CORPORATION

Practice address

2058 12TH Ave
San Francisco, CA 94116-1306

Phone

(415) 759-8833

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca A Green, N.D., L.AC.

Title

Associate Clinical Director

Phone

(415) 759-8833

Specialties & licenses 5

Addresses

Other names 1

• Anatara Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahvie Herskowitz, M.D.

  • Anatomic Pathology Physician
  • San Francisco, CA
  • NPI 1336243419

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1386938470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 12TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161306",
            "telephone_number": "415-759-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 12TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161306",
            "telephone_number": "415-759-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSOCIATE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-759-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14320",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND419",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C050117",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C050117",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "C050117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anatara Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Awwad
• Gail Axelrod
• Jessica Purdy Axelrod, P.N.P
• Pamela Anne Axelson, RN NP
• Axiom Medical Group a Professional Corporation
• Rania Ayad, PHARMD
• Roxana Salcedo Ayala-Quintero, MA, LMFT
• Angelica Ayala
• Anna Ayala
• Gila Ayala, NP

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.