Individual provider Active NPI

Stephany C Rush, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1609308642
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A159498 Issued in CA
Practice address
229 7TH St
San Francisco, CA 94103-4003
Phone
(415) 503-6000
Fax
(415) 503-6096
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A159498 CA Primary

Addresses

Primary practice location

229 7TH St
San Francisco, CA 94103-4003

Mailing address

229 7TH St
San Francisco, CA 94103-4003
Phone (415) 503-6000

Other practice location 1

1001 Potrero Ave
Bldg 80-83
San Francisco, CA 94110-3518
Phone (415) 206-5252

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012002298 CA Practitioner - Family Practice 4981024031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare in Action Medical GroupGroup PAC ID 4981093093, 8 clinicians

Practice addresses (Care Compare)

3800 Kilroy Airport Way
Suite 100
Long Beach, CA 90806-6818
Phone (559) 249-1867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A159498CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jan 9, 2021 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Jan 9, 2021 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Equity Health Past Accepting new patients
Equity Health Past Accepting new patients
Equity Health Past Accepting new patients

Locations

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1001 Potrero Ave
Bldg 8083
San Francisco, CA 94110
Phone (415) 206-5252

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

Interoperability endpoints

  • Direct secure messaging: srush581855@direct.ochin.org
  • Direct secure messaging: stephany.rush.p1@direct.smhc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1609308642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034003",
            "telephone_number": "415-503-6000",
            "fax_number": "415-503-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034003",
            "telephone_number": "415-503-6000",
            "fax_number": "415-503-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave",
            "address_2": "Bldg 80-83",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "STEPHANY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A159498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.