Individual provider Active NPI

Jeffrey M Venstrom, MD

  • Hematology & Oncology Physician
  • San Francisco, CA
National Provider Identifier
1417100637
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
AAI2013 Issued in CA
Practice address
400 Parnassus Aveneu Ste A502
Box 0324
San Francisco, CA 94143-0324
Phone
(415) 353-2421
Fax
(415) 353-2545
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X AAI2013 CA Primary

Addresses

Primary practice location

400 Parnassus Aveneu Ste A502
Box 0324
San Francisco, CA 94143-0324

Mailing address

400 Parnassus Aveneu Ste A502
Box 0324
San Francisco, CA 94143-0324
Phone (415) 353-2421

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
AAI2013CAMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1417100637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVENEU STE A502",
            "address_2": "BOX 0324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430324",
            "telephone_number": "415-353-2421",
            "fax_number": "415-353-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVENEU STE A502",
            "address_2": "BOX 0324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430324",
            "telephone_number": "415-353-2421",
            "fax_number": "415-353-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENSTROM",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "AAI2013",
            "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 Jul 24, 2013; 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.