Individual provider Active NPI

Edward Kenji Hadeler, MD

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1528708047
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A208307 Issued in CA
Practice address
490 Post St Ste 700
San Francisco, CA 94102-1415
Phone
(415) 362-2238
Fax
(415) 362-7745
NPI assigned
Mar 31, 2022
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A208307 CA
Dermatology Physician 207N00000X A208307 CA Primary

Addresses

Primary practice location

490 Post St Ste 700
San Francisco, CA 94102-1415

Mailing address

490 Post St Ste 700
San Francisco, CA 94102-1415
Phone (415) 362-2238

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Medical Group of San Francisco, Inc Dermatology PastSince Jan 1, 2008 Accepting new patients
Dermatology Medical Group of SF Past Accepting new patients

Organizations & group practices 2

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1528708047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021415",
            "telephone_number": "415-362-2238",
            "fax_number": "415-362-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021415",
            "telephone_number": "415-362-2238",
            "fax_number": "415-362-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADELER",
        "first_name": "EDWARD",
        "middle_name": "KENJI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A208307",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A208307",
            "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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.