Individual provider Active NPI

Jodi Kunibe, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1467805572
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95030330 Issued in CA
Practice address
2355 Market St
San Francisco, CA 94114-1617
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95030330 CA Primary

Addresses

Primary practice location

2355 Market St
San Francisco, CA 94114-1617

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171018000429 NY Practitioner - Nurse Practitioner 3274809314 Reassigns benefits to 2 organizations
I20240815004561 CA Practitioner - Nurse Practitioner 3274809314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

2355 Market St
San Francisco, CA 94114-1617
Phone (888) 663-6331

559 Clay St
Suite 200
San Francisco, CA 94111-3029
Phone (888) 663-6331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030330CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Mar 18, 2019 Accepting new patients
Mount Sinai School of Medicine CurrentSince Oct 1, 2022 Accepting new patients
One Medical Group, Inc CurrentSince Sep 3, 2024 Accepting new patients
One Medical Group, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Advantagecare Physicians PC Nurse Practitioner CurrentSince Mar 18, 2019 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Columbia University Registered Nurse Past Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

2355 Market St
San Francisco, CA 94114

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

154 W 71st St
New York, NY 10023
Phone (212) 460-7800

55 Water St
Fl 2
New York, NY 10041

252 W 81st St
Fl 2
New York, NY 10024
Phone (212) 321-7001

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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.

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1467805572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141617",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIBE",
        "first_name": "JODI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.