NPIMap

Organization Active NPI

Choice Telemed

  • Radiological Physics Physician
  • San Francisco, CA
National Provider Identifier
1447497979
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
Legal business name
CHOICE TELEMED
Practice address
2001 Union St
Ste 495
San Francisco, CA 94123-4114
Phone
(415) 351-2227
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Jeremy Broillette
Title
Ceo
Phone
(514) 694-0367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0205X Primary

Addresses

Primary practice location

2001 Union St
Ste 495
San Francisco, CA 94123-4114

Mailing address

2001 Union St
Ste 495
San Francisco, CA 94123-4114

National Provider Directory

National Provider Directory
Tax ID family
Choice Telemed3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Union St
Ste 495
San Francisco, CA 94123
Phone (415) 345-9897

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1447497979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 UNION ST",
            "address_2": "STE 495",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 UNION ST",
            "address_2": "STE 495",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234114",
            "telephone_number": "415-351-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE TELEMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "BROILLETTE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "514-694-0367"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "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 Jan 21, 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.