Individual provider Active NPI

William James Demartini, M.D.

  • Diagnostic Radiology Physician
  • Greenbrae, CA
National Provider Identifier
1427091016
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G27905 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 925-7301
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G27905 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3418

Other identifiers 2

IdentifierTypeStateIssuer
00G279050MedicaidCA
300121750OtherCARAILROAD MEDICARE

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
I20060209000228 CA Practitioner - Diagnostic Radiology 5799683918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G27905CAMDDiagnostic Radiology Physician
27905CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of California - Department of Developmental Services Current Accepting new patients
Agnews Community Clinic CurrentSince May 23, 2007 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Feb 23, 2013 Accepting new patients
State of California - Department of Developmental Services CurrentSince May 23, 2007 Accepting new patients
University of California SFGH Medical Group CurrentSince Feb 23, 2013 Accepting new patients
California Advanced Imaging Medical Associates Inc Diagnostic Radiology CurrentSince Jul 1, 1980 Accepting new patients
Prima Medical Group, Inc. Past Accepting new patients
Seton Medical Center Past Accepting new patients
Barton Healthcare System Past Accepting new patients
Marin General Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1240 S Eliseo Dr
Ste 103
Greenbrae, CA 94904
Phone (415) 461-7770

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

500 Redwood Blvd
#300
Novato, CA 94947
Phone (415) 884-3418

26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

Organizations & group practices 11

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 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1427091016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3418",
            "fax_number": "415-883-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTINI",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G27905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G279050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300121750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.