Individual provider Active NPI

Sergio R Bello, MD

  • Cardiovascular Disease Physician
  • San Francisco, CA
National Provider Identifier
1407868367
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G66455 Issued in CA
Practice address
1 Shrader St
Suite 600
San Francisco, CA 94117-1016
Phone
(415) 392-1386
Fax
(415) 329-1771
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G66455 CA Primary
Internal Medicine Physician 207R00000X G66455 CA

Addresses

Primary practice location

1 Shrader St
Suite 600
San Francisco, CA 94117-1016

Mailing address

PO Box 1134
Mill Valley, CA 94942-1134
Phone (415) 392-1386

Other identifiers 1

IdentifierTypeStateIssuer
00G664551MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66455CAMDPharmacist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECIDCA/Endpoint/ECIDCA

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1407868367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1134",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949421134",
            "telephone_number": "415-392-1386",
            "fax_number": "415-329-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 600",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-392-1386",
            "fax_number": "415-329-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "SERGIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G66455",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G664551",
            "state": "CA"
        }
    ],
    "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 May 5, 2009; 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.