Active NPI
Deanne Kennedy Loube, MD
- Vascular Neurology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- A180200
- Practice address
- 1100 Van Ness Ave FL 6
San Francisco, CA 94109-6978 - Phone
- (415) 600-5760
- Fax
- (415) 369-1208
- NPI assigned
- Apr 11, 2019
- 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 |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | A180200 | CA | Primary |
Addresses
Primary practice location
1100 Van Ness Ave FL 6
San Francisco, CA 94109-6978
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-5760
Other names 1
- Deanne Nicole Kennedy
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-0140
Hospital & facility affiliations
- Peninsula Medical Center
- California Pacific Medical Ctr-Davies Campus Hosp
- California Pacific Medical Center- Van Ness Campus
- California Pacific Medical Center - Mission Bernal
- Sutter Coast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180200 | CA | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter Delta Medical Center | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
601 Duboce Ave
Ste 175
San Francisco, CA 94117
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
1100 Van Ness Ave
San Francisco, CA 94109
Phone (415) 600-5760
1100 Van Ness Ave
Fl 6
San Francisco, CA 94109
Phone (415) 600-3458
601 Duboce Ave
Ste 175A
San Francisco, CA 94117
Phone (415) 600-5760
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
300 Pasteur Dr
#154
Stanford, CA 94305
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- dloube685919@hisp.ehr.sutterhealth.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1124135132
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
- General Acute Care Hospital
- Crescent City, CA
- NPI 1457367062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1447713854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-600-5760",
"fax_number": "415-369-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VAN NESS AVE FL 6",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096978",
"telephone_number": "415-600-5760",
"fax_number": "415-369-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUBE",
"first_name": "DEANNE",
"middle_name": "KENNEDY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CA",
"license": "A180200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNE",
"last_name": "KENNEDY",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.