Active NPI
Frank Mainzer, M.D.
- Diagnostic Radiology Physician
- San Francisco, CA
National Provider Identifier
1467402636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G12512
- Practice address
- 900 Hyde St
San Francisco, CA 94109-4806 - Phone
- (415) 353-6390
- NPI assigned
- May 11, 2006
- Last updated
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G12512 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G12512 | CA | Primary |
Addresses
Primary practice location
900 Hyde St
San Francisco, CA 94109-4806
Mailing address
PO Box 6102
Novato, CA 94948-6102
Phone (415) 883-1218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G125120 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12512 | CA | MD | Specialist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1942254198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1467402636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6102",
"city": "NOVATO",
"state": "CA",
"postal_code": "949486102",
"telephone_number": "415-883-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HYDE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094806",
"telephone_number": "415-353-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINZER",
"first_name": "FRANK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G12512",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G12512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G125120",
"state": "CA"
}
],
"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 Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.