Individual provider Active NPI

Nicole Weitz Kittler, M.D.

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1467795427
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
147926 Issued in CA
Practice address
1701 Divisadero St FL 3
San Francisco, CA 94115-3011
Phone
(415) 353-7880
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 147926 CA Primary

Addresses

Primary practice location

1701 Divisadero St FL 3
San Francisco, CA 94115-3011

Mailing address

1701 Divisadero St FL 3
San Francisco, CA 94115-3011
Phone (415) 353-7880

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022003145 CA Practitioner - Dermatology 5597018564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147926CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Oct 1, 2018 Accepting new patients
UCSF Medical Group Business Services Dermatology CurrentSince Oct 1, 2018 Accepting new patients
University of California San Francisco Dermatology CurrentSince Oct 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 1, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

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

1701 Divisadero St
Fl 3
San Francisco, CA 94115
Phone (415) 353-7800

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

2401 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 979-4000

Interoperability endpoints

  • Direct secure messaging: nkittler86888@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1467795427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLER",
        "first_name": "NICOLE",
        "middle_name": "WEITZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "147926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.