Individual provider Active NPI

Imee Williams, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1427761402
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67147 Issued in CA
Practice address
909 Hyde St Ste 230
San Francisco, CA 94109-4845
Phone
(415) 779-8332
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67147 CA Primary

Addresses

Primary practice location

909 Hyde St Ste 230
San Francisco, CA 94109-4845

Mailing address

909 Hyde St Ste 230
San Francisco, CA 94109-4845
Phone (415) 779-8332

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
I20251203004607 CA Practitioner - Physician Assistant 3577056977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Truelight Medical CorporationGroup PAC ID 2264801281, 3 clinicians

Practice addresses (Care Compare)

909 Hyde St
Suite 125
San Francisco, CA 94109-4832
Phone (415) 771-4366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67147CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Truelight Medical Corporation CurrentSince Jan 1, 2026 Accepting new patients

Locations

909 Hyde St
Ste 125
San Francisco, CA 94109
Phone (415) 771-4366

909 Hyde St
Ste 230
San Francisco, CA 94109
Phone (415) 474-3668

Organizations & group practices 1

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 2

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1427761402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 230",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094845",
            "telephone_number": "415-779-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 230",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094845",
            "telephone_number": "415-779-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "IMEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.