Individual provider Active NPI

Susan Sarah Philip, MD MPH

  • Infectious Disease Physician
  • San Francisco, CA
National Provider Identifier
1477660116
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A80537 Issued in CA
Practice address
1001 Potrero Avenue
BLDG 30 4TH Floor
San Francisco, CA 94110-3518
Phone
(415) 206-5438
Fax
(415) 648-8425
NPI assigned
Aug 25, 2006
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A80537 CA
Infectious Disease Physician 207RI0200X A80537 CA Primary

Addresses

Primary practice location

1001 Potrero Avenue
BLDG 30 4TH Floor
San Francisco, CA 94110-3518

Mailing address

PO Box 7464
San Francisco, CA 94120-7464
Phone (415) 206-3103

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
I20070216000512 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6800998147 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80537CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Feb 12, 2024 Accepting new patients
City and County of San Francisco CurrentSince Feb 12, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
Bldg 30
San Francisco, CA 94110
Phone (415) 206-5438

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

101 Grove St
Rm 419
San Francisco, CA 94102
Phone (415) 554-2685

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1477660116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207464",
            "telephone_number": "415-206-3103",
            "fax_number": "415-206-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "BLDG 30 4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5438",
            "fax_number": "415-648-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "SUSAN",
        "middle_name": "SARAH",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80537",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A80537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.