Individual provider Active NPI

Adrienne Coulter, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1447923073
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34858 Issued in CA
Practice address
490 Illinois St
San Francisco, CA 94143-2510
Phone
(415) 353-2020
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 34858 CA Primary

Addresses

Primary practice location

490 Illinois St
San Francisco, CA 94143-2510

Mailing address

352 Pine St
Millbrae, CA 94030-2019
Phone (650) 274-3405

Other practice location 1

230 Minor Hall Mc-2020
Berkeley, CA 94720-0001
Phone (510) 642-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029001571 CA Practitioner - Optometry 5890183594 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

UCSF Office of Medical Affairs and Governance Box
2001 The Embarcadero Suite 1500
San Francisco, CA 94143

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The West Oakland Health Council CurrentSince Jul 1, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 11, 2022 Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince Oct 22, 2021 Accepting new patients
Lifelong Medical Care Multi-Specialty CurrentSince Oct 8, 2021 Accepting new patients
University of California San Francisco Multi-Specialty CurrentSince May 11, 2022 Accepting new patients
University of California San Francisco CurrentSince May 11, 2022 Accepting new patients
Lifelong Medical Care Multi-Specialty CurrentSince Oct 8, 2021 Accepting new patients
UCSF Medical Group Business Services Multi-Specialty CurrentSince May 11, 2022 Accepting new patients
The West Oakland Health Council Multi-Specialty Current Accepting new patients
The West Oakland Health Council CurrentSince Jul 1, 2022 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

490 Illinois St
San Francisco, CA 94143
Phone (415) 353-2020

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

Organizations & group practices 12

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 1

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1447923073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 PINE ST",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302019",
            "telephone_number": "650-274-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ILLINOIS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432510",
            "telephone_number": "415-353-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Minor Hall Mc-2020",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947200001",
            "country_code": "US",
            "telephone_number": "510-642-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COULTER",
        "first_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.