Organization Active NPI

Mission Gastroenterology and Hepatology Inc

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1396019691
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A43170 Issued in CA
Legal business name
MISSION GASTROENTEROLOGY AND HEPATOLOGY INC
Practice address
1580 Valencia St Ste 106
San Francisco, CA 94110-4420
Phone
(415) 641-3430
NPI assigned
Mar 4, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Maurizio Bonacini, MDNPI 1114944972
Title
Ceo
Phone
(415) 722-7215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A43170 CA Primary

Addresses

Primary practice location

1580 Valencia St Ste 106
San Francisco, CA 94110-4420

Mailing address

1580 Valencia St Ste 106
San Francisco, CA 94110-4420
Phone (415) 641-3430

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1396019691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST STE 106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104420",
            "telephone_number": "415-641-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST STE 106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104420",
            "telephone_number": "415-641-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION GASTROENTEROLOGY AND HEPATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "BONACINI",
        "authorized_official_first_name": "MAURIZIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-722-7215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A43170",
            "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 Jun 6, 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.

Verify at the official NPI Registry.