Pacific Family Practice Medical Group a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PACIFIC FAMILY PRACTICE MEDICAL GROUP A PROFESSIONAL CORPORATION

Practice address

1 Shrader St
578
San Francisco, CA 94117-1016

Phone

(415) 876-5762

Fax

(415) 876-4538

NPI assigned

Dec 4, 2006

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel E Roth, M.D.NPI 1699814350

Title

President

Phone

(415) 876-5762

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel E Roth, M.D.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1699814350
  Authorized official Same address or phone

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1568520518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "578",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-876-5762",
            "fax_number": "415-876-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "578",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-876-5762",
            "fax_number": "415-876-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FAMILY PRACTICE MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-876-5762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Cognitive Health, a Professional Psychological Corporation
• Pacific Crest Orthopedics PC
• Pacific Dental Associates
• Pacific Ear Nose and Throat Associates Inc
• Pacific Eye Associates, a Medical Corporation
• Pacific Forensic Psychology Associates (Sharper Future)
• Pacific Gynecology & Obstetrics Medical Group Inc
• Pacific Gynecology Surgical Group Inc
• Pacific Heights Medical Group
• Pacific Heights Medical Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.