Noe Valley Pediatrics, a Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G28253 Issued in CA

Legal business name

NOE VALLEY PEDIATRICS, A MEDICAL GROUP, INC.

Practice address

3700 24TH St
San Francisco, CA 94114-3904

Phone

(415) 641-1019

NPI assigned

Aug 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James E Schwanke, MD

Title

President

Phone

(415) 641-1019

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Lauren Nicole Date-Chong, PNP

  • Pediatric Nurse Practitioner
  • Valley Springs, CA
  • NPI 1710518808
  NPD (past)
• Elizabeth Louise Retailleau, MD

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1033374681
  NPD (past)
• Sonya Mary Samuel, M.D.

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1760724959
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1609154038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143904",
            "telephone_number": "415-641-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143904",
            "telephone_number": "415-641-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOE VALLEY PEDIATRICS, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "SCHWANKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-641-1019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G28253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G28253",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Rose Nocedal
• Patrice Monger Nocerino, NP
• Charley Mae Nocete
• Esther Noddings, RN
• Noe Valley Lactation LLC (Noe Valley Lactation)
• Noe Valley Physical Therapy
• Noe Valley Smiles and Braces
• Anita Noecker, RN
• Martha Walker Noel, M.D.
• Kelly Noelke

• Pediatrics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.