Individual provider Active NPI

Gil Resurreccion Ponsones, CNP

  • Acute Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1407071087
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18989 Issued in CA
Practice address
505 Parnassus Avenue
Room M-917
San Francisco, CA 94143-0624
Phone
(415) 353-1847
Fax
(415) 353-1990
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704203777 MI
Nurse Practitioner 363L00000X 18989 CA
Acute Care Nurse Practitioner 363LA2100X 18989 CA Primary

Addresses

Primary practice location

505 Parnassus Avenue
Room M-917
San Francisco, CA 94143-0624

Mailing address

505 Parnassus Avenue
Room M-917
San Francisco, CA 94143-0624
Phone (415) 353-1847

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606001797 CA Practitioner - Nurse Practitioner 3870568066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 4284547274, 706 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704203777MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Anesthesia Medical Group CurrentSince May 28, 2017 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Dec 29, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince May 29, 2017 Accepting new patients
Regents of the University of California CurrentSince Dec 29, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 29, 2020 Accepting new patients
University of California San Francisco CurrentSince May 29, 2017 Accepting new patients
Rehabilitation Institute of Michigan Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

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

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

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

3333 California St
Ste S110
San Francisco, CA 94118

505 Parnassus Ave
Rm M917
San Francisco, CA 94143
Phone (415) 353-1212

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1407071087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVENUE",
            "address_2": "ROOM M-917",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430624",
            "telephone_number": "415-353-1847",
            "fax_number": "415-353-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVENUE",
            "address_2": "ROOM M-917",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430624",
            "telephone_number": "415-353-1847",
            "fax_number": "415-353-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONSONES",
        "first_name": "GIL",
        "middle_name": "RESURRECCION",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704203777",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "18989",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "18989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.