Active NPI
Dean Loller Rider, MD
- Gastroenterology Physician
- San Francisco, CA
National Provider Identifier
1487759296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G401240
- Practice address
- 3580 California Street
Suite 302
San Francisco, CA 94118-1725 - Phone
- (415) 658-7497
- Fax
- (415) 929-1307
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G401240 | IL | Primary |
Addresses
Primary practice location
3580 California Street
Suite 302
San Francisco, CA 94118-1725
Mailing address
PO Box 320670
San Francisco, CA 94132
Phone (415) 658-7497
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942983437 | Other | BLUE CROSS PERS CARE | |
| 942983437 | Other | UNITE HEALTH CARE TAX ID | |
| 942983437 | Other | BAY AREA AUTOMOTIVE WELFA | |
| 942983437 | Other | UNITED HEALTHCARE TAX ID | |
| 9429834370001 | Other | CIGNA HEALTHCARE | |
| 001800143 | Other | BLUE SHIELD HIGHMARK OF P | |
| 942983437 | Other | BLUE SHIELD OF CAL TAX ID | |
| 942983437 | Other | BLUE CROSS OF CA | |
| 5422000G401240 | Other | BLUE SHIELD OF CAL | |
| 942983437 | Other | SF CULINARY BARTENDERS WE | |
| 942983437 | Other | UNION LABOR LIFE INS | |
| 00G401240 | Other | CARE ADVANTAGE | |
| 013478 | Other | HILL PHYSICIANS MED GRP | |
| 00G401240 | Other | MEDICAL CALIF | |
| 00G401240 | Other | HEALTH PLAN OF SAN MATEO | |
| 600632 | Other | BROWN AND TOLAND MED GRP | |
| 942983437 | Other | LIFE INVESTORS INS CO OF | |
| 00G401240 | Other | BLUE SHIELD OF CAL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110228000782 | CA | Practitioner - Gastroenterology | 2961509278 | Practice locations: San Francisco, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3580 California St
Suite 302
San Francisco, CA 94118-1715
Phone (415) 601-7999
Hospital & facility affiliations
- UCSF Health St. Mary'S Hospital
- UCSF Medical Center
- California Pacific Medical Ctr-Davies Campus Hosp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 25 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G401240 | IL | MD | Gastroenterology Physician |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1487759296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320670",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94132",
"telephone_number": "415-658-7497",
"fax_number": "415-929-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 CALIFORNIA STREET",
"address_2": "SUITE 302",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181725",
"telephone_number": "415-658-7497",
"fax_number": "415-929-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "DEAN",
"middle_name": "LOLLER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "G401240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PERS CARE",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITE HEALTH CARE TAX ID",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAY AREA AUTOMOTIVE WELFA",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE TAX ID",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "9429834370001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HIGHMARK OF P",
"identifier": "001800143",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CAL TAX ID",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CA",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CAL",
"identifier": "5422000G401240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SF CULINARY BARTENDERS WE",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNION LABOR LIFE INS",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE ADVANTAGE",
"identifier": "00G401240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HILL PHYSICIANS MED GRP",
"identifier": "013478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL CALIF",
"identifier": "00G401240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF SAN MATEO",
"identifier": "00G401240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BROWN AND TOLAND MED GRP",
"identifier": "600632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIFE INVESTORS INS CO OF",
"identifier": "942983437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CAL",
"identifier": "00G401240",
"state": null
}
],
"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 Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.