Active NPI
Kenneth A Hammonds, D.O.
- General Practice Physician
- San Francisco, CA
National Provider Identifier
1487995866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20A14993
- Practice address
- 584 Castro St
San Francisco, CA 94114-2512 - Phone
- (415) 212-8865
- NPI assigned
- Mar 8, 2013
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 20A14993 | CA | Primary |
Addresses
Primary practice location
584 Castro St
San Francisco, CA 94114-2512
Mailing address
584 Castro St # 2019
San Francisco, CA 94114-2512
Phone (415) 212-8865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | VA | MILITARY |
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1487995866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 CASTRO ST # 2019",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142512",
"telephone_number": "415-212-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 CASTRO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142512",
"telephone_number": "415-212-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMONDS",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-08",
"last_updated": "2020-10-02",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "20A14993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY",
"identifier": "390200000X",
"state": "VA"
}
],
"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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.