Active NPI
Park Hill Health Services PA
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1558076786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231013002552 | IL | Part B Supplier - Clinic/Group Practice | 6709250889 |
Receives reassigned benefits from 2 practitioners Practice locations: Northbrook, IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Truckee, CA
- NPI 1609232875
-
- Pharmacist
- Albuquerque, NM
- NPI 1902203185
-
- Acute Care Nurse Practitioner
- Eagan, MN
- NPI 1689256919
-
- Adult Health Nurse Practitioner
- Chicago, IL
- NPI 1710307806
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.