Mission Gastroenterology and Hepatology Inc

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

Organization subpart

No

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

Authorized official

Name

Dr. Maurizio Bonacini, MD

Title

Ceo

Phone

(415) 722-7215

Specialties & licenses 1

Addresses

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": []
}

• Mission Council. Inc.
• Mission District Physical Therapy & Rehabilitation
• Mission District Physical Therapy & Rehabilitation, Inc
• Mission Family Center
• Mission Family Therapy, Inc.
• Mission Mental Health Clinic
• Mission Neighborhood Health Center-Valencia Clinic
• Mission Neighborhood Resource Center
• Mission Neighborhood Resource Center
• Mission Optometry Inc

• Gastroenterology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Gastroenterology Physician in California

• 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.