John Dekutoski, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G035124 Issued in CA

Practice address

4150 Clement St
GB17, (11C3)
San Francisco, CA 94121-1545

Phone

(415) 750-2122

Fax

(415) 750-2249

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1548270333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "address_2": "GB17, (11C3)",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211545",
            "telephone_number": "415-750-2122",
            "fax_number": "415-750-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "address_2": "GB17, (11C3)",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211545",
            "telephone_number": "415-750-2122",
            "fax_number": "415-750-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKUTOSKI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G035124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dejarnette, M.D.
• Leighann Denise Dejesse
• Danielle Dekker
• Ellen Beth Dekker, MFT
• Heather Marie Deklotz
• Farah Kamila Del Arroz
• Maria Asuncion Mulleda Del Castillo, PTRP, PTA
• Samantha Del Castillo
• Stephanie Del Chiaro
• Astrid Del Cid

• Adult Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.