Active NPI
Norman Mathis
- Addiction (Substance Use Disorder) Counselor
- San Francisco, CA
National Provider Identifier
1548305485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1601 Quesada Ave
San Francisco, CA 94124-2334 - Phone
- (415) 822-5945
- Fax
- (415) 822-5943
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1601 Quesada Ave
San Francisco, CA 94124-2334
Mailing address
940 Hayes St
Apt. D
San Francisco, CA 94117-2513
Phone (415) 921-5562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30454 | Other | CA | INSYST STAFF ID NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548305485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 HAYES ST",
"address_2": "APT. D",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172513",
"telephone_number": "415-921-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 QUESADA AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941242334",
"telephone_number": "415-822-5945",
"fax_number": "415-822-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "NORMAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSYST STAFF ID NUMBER",
"identifier": "30454",
"state": "CA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.