Individual provider Active NPI

William Daniel Soulsby III, MD

  • Pediatric Rheumatology Physician
  • San Francisco, CA
National Provider Identifier
1396108718
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
A155082 Issued in CA
Practice address
550 16TH St FL 4
San Francisco, CA 94158-2545
Phone
(415) 476-5001
NPI assigned
Apr 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A155082 CA
Pediatric Rheumatology Physician 2080P0216X A155082 CA Primary

Addresses

Primary practice location

550 16TH St FL 4
San Francisco, CA 94158-2545

Mailing address

550 16TH St FL 4
Box 0110
San Francisco, CA 94158-2549

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708001656 CA Practitioner - Pediatric MedicinePractitioner - Rheumatology 7517222961 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155082CAMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jun 23, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 23, 2022 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 23, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 23, 2022 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 23, 2022 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Medical Center at Mt. Zion Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

550 16th St
Fl 4
San Francisco, CA 94143
Phone (415) 476-5001

550 16th St
Fl 4
San Francisco, CA 94158
Phone (415) 353-7337

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: wsoulsby79790@direct-ucsfmedicalcenter.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.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1396108718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST FL 4",
            "address_2": "BOX 0110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582545",
            "telephone_number": "415-476-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULSBY",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A155082",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "CA",
            "license": "A155082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.