Active NPI
Oluwatosin Adebiyi Fancher
- Child & Adolescent Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1437890282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 189291
- Practice address
- 1801 Vicente St
San Francisco, CA 94116-2923 - Phone
- (415) 681-3211
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 189291 | CA | Primary |
Addresses
Primary practice location
1801 Vicente St
San Francisco, CA 94116-2923
Mailing address
675 18TH St
San Francisco, CA 94143-4200
Phone (415) 866-0682
Other practice location 1
675 18th St
San Francisco, CA 94143-4200
Phone (415) 476-7527
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231009000730 | CA | Order and Referring Only - Psychiatry | 4688029895 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189291 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1437890282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 18TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941434200",
"telephone_number": "415-866-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 VICENTE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162923",
"telephone_number": "415-681-3211"
}
],
"practiceLocations": [
{
"address_1": "675 18th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941434200",
"country_code": "US",
"telephone_number": "415-476-7527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANCHER",
"first_name": "OLUWATOSIN",
"middle_name": "ADEBIYI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "189291",
"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 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.