Individual provider Active NPI

Michael Marion Buljan, RN, CNS, NP

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1609038587
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
17937 Issued in CA
Practice address
1600 Divisadero St
4TH Floor Melanoma Clinic
San Francisco, CA 94115-3010
Phone
(415) 244-0540
Fax
(415) 885-3802
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 17937 CA Primary

Addresses

Primary practice location

1600 Divisadero St
4TH Floor Melanoma Clinic
San Francisco, CA 94115-3010

Mailing address

1600 Divisadero St
4TH Floor Melanoma Clinic
San Francisco, CA 94115-3010
Phone (415) 244-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000310 CA Practitioner - Nurse Practitioner 4082770748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Aug 13, 2011 Accepting new patients
University of California San Francisco CurrentSince Aug 13, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 13, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 13, 2011 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Aug 13, 2011 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
Fl 5
San Francisco, CA 94143
Phone (415) 353-2101

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1600 Divisadero St
Fl 4
San Francisco, CA 94143
Phone (415) 353-7100

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1600 Divisadero St
Ste 3
San Francisco, CA 94143

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1609038587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "4TH FLOOR MELANOMA CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-244-0540",
            "fax_number": "415-885-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "4TH FLOOR MELANOMA CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-244-0540",
            "fax_number": "415-885-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULJAN",
        "first_name": "MICHAEL",
        "middle_name": "MARION",
        "name_prefix": "Mr.",
        "credential": "RN, CNS, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "17937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.