Individual provider Active NPI

William Blake Falk, MSN, APRN, BC

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1609942861
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14427 Issued in CA
Practice address
46 Cragmont Ave
San Francisco, CA 94116-1308
Phone
(415) 823-5131
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14427 CA Primary

Addresses

Primary practice location

46 Cragmont Ave
San Francisco, CA 94116-1308

Mailing address

46 Cragmont Ave
San Francisco, CA 94116-1308
Phone (415) 823-5131

Other identifiers 2

IdentifierTypeStateIssuer
NP0144270MedicaidCA
P00390357OtherCARAILROAD MEDICARE

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
I20040609000631 CA Practitioner - Nurse Practitioner 6709869969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 5TH Ave
San Rafael, CA 94901-1808
Phone (415) 456-7170

86 Hillview CT
Daly City, CA 94015-4505
Phone (415) 528-0532

Merit-based Incentive Payment System (MIPS)

Final score
49.94 of 100Reported as individual
Quality
45
Improvement activities
0
Cost
73.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Psychiatry Nursing Corporation Family CurrentSince Sep 18, 2012 Accepting new patients

Locations

1805 West St
Hayward, CA 94545
Phone (510) 259-6733

1250 Hayes St
San Francisco, CA 94117
Phone (415) 931-8806

1601 5th Ave
San Rafael, CA 94901
Phone (415) 456-7170

Organizations & group practices 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1609942861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CRAGMONT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161308",
            "telephone_number": "415-823-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CRAGMONT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161308",
            "telephone_number": "415-823-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "WILLIAM",
        "middle_name": "BLAKE",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0144270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00390357",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.