Active NPI
David Wayne Buchholz, MD
- Pediatrics Physician
- San Francisco, CA
National Provider Identifier
1487738191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G88644
- Practice address
- 1701 Divisadero St
Suite 280, Box 1904
San Francisco, CA 94115-3011 - Phone
- (415) 514-6200
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00026298 | WA | |
| Pediatrics Physician | 208000000X | G88644 | CA | Primary |
Addresses
Primary practice location
1701 Divisadero St
Suite 280, Box 1904
San Francisco, CA 94115-3011
Mailing address
1701 Divisadero St
Suite 280, Box 1904
San Francisco, CA 94115-3011
Phone (415) 514-6200
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 |
|---|---|---|---|
| 88644 | CA | MD | Pharmacist |
| G88644 | CA | MD | Pediatrics Physician |
| MD00026298 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1487738191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 DIVISADERO ST",
"address_2": "SUITE 280, BOX 1904",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153011",
"telephone_number": "415-514-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 DIVISADERO ST",
"address_2": "SUITE 280, BOX 1904",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153011",
"telephone_number": "415-514-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHHOLZ",
"first_name": "DAVID",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00026298",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G88644",
"primary": true
}
],
"identifiers": [],
"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 Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.