Individual provider Active NPI

Daniel Jude Rybold, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1497895585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G52900 Issued in CA
Practice address
375 Laguna Honda Blvd
Laguna Honda Hospital and Rehab Center, Medical SVCS
San Francisco, CA 94116-1411
Phone
(415) 759-2300
Fax
(415) 759-4587
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G52900 CA Primary

Addresses

Primary practice location

375 Laguna Honda Blvd
Laguna Honda Hospital and Rehab Center, Medical SVCS
San Francisco, CA 94116-1411

Mailing address

375 Laguna Honda Blvd
Laguna Honda Hospital and Rehab Ctr, Medical SVCS
San Francisco, CA 94116-1411
Phone (415) 759-2300

Other identifiers 1

IdentifierTypeStateIssuer
00G529000MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001320 CA Practitioner - Family Practice 1557396595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52900CAMDGeneral Practice Dentistry
G52900CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Feb 15, 2012 Accepting new patients
City & County of San Francisco CurrentSince Feb 15, 2012 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

375 Laguna Honda Blvd
Rm B
San Francisco, CA 94116

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497895585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 LAGUNA HONDA BLVD",
            "address_2": "LAGUNA HONDA HOSPITAL AND REHAB CTR, MEDICAL SVCS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161411",
            "telephone_number": "415-759-2300",
            "fax_number": "415-759-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 LAGUNA HONDA BLVD",
            "address_2": "LAGUNA HONDA HOSPITAL AND REHAB CENTER, MEDICAL SVCS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161411",
            "telephone_number": "415-759-2300",
            "fax_number": "415-759-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBOLD",
        "first_name": "DANIEL",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G52900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G529000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.