Organization Active NPI

Park Hill Health Services PA

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1558076786
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARK HILL HEALTH SERVICES PA
Practice address
444 8TH St
San Francisco, CA 94103-4428
Phone
(913) 484-5123
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Marjorie Jacklyn Jacobe
Title
Administrator
Phone
(713) 444-4465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

444 8TH St
San Francisco, CA 94103-4428

Mailing address

548 Market St # 50727
San Francisco, CA 94104-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231013002552 IL Part B Supplier - Clinic/Group Practice 6709250889 Receives reassigned benefits from 2 practitioners
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

444 8th St
San Francisco, CA 94103
Phone (913) 484-5123

101 Merritt 7
Fl PARK3
Norwalk, CT 06851

101 Merritt 7
Ste 3
Norwalk, CT 06851
Phone (203) 904-2031

10202 Perkins Rowe
Ste 160
Baton Rouge, LA 70810

240 Elm St
#2
Somerville, MA 02144

325 N Saint Paul St
Ste 3200
Dallas, TX 75201

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1558076786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST # 50727",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 8TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034428",
            "telephone_number": "913-484-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HILL HEALTH SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "JACOBE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "JACKLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-444-4465"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.