Individual provider Active NPI

John Albert Fassett, RNP/CNM

  • Advanced Practice Midwife
  • San Francisco, CA
National Provider Identifier
1619252509
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW1037 Issued in CA
Practice address
3625 California St
San Francisco, CA 94118-1701
Phone
(415) 668-1010
Fax
(415) 668-7465
NPI assigned
Oct 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NMW1037 CA Primary

Addresses

Primary practice location

3625 California St
San Francisco, CA 94118-1701

Mailing address

3625 California St
San Francisco, CA 94118-1701
Phone (415) 668-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121029000687 CA Practitioner - Certified Nurse Midwife (CNM) 6103076104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of California, San Francisco School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1375 Sutter St
Suite 308
San Francisco, CA 94109-5466
Phone (415) 600-0140

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NMW1037CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

3700 California St
San Francisco, CA 94118
Phone (415) 719-0000

1100 Van Ness Ave
Fl 4
San Francisco, CA 94109
Phone (415) 600-0930

2100 Webster St
Ste 319
San Francisco, CA 94115
Phone (415) 923-3123

3838 California St
Rm 805
San Francisco, CA 94118
Phone (415) 600-0940

1580 Valencia St
Fl 4
San Francisco, CA 94110
Phone (415) 647-1828

1375 Sutter St
Ste 308
San Francisco, CA 94109
Phone (415) 600-0140

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

Interoperability endpoints

  • Direct secure messaging: jfassett150339@hisp.ehr.sutterhealth.org

Organizations & group practices 19

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.

View all 19

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": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1619252509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181701",
            "telephone_number": "415-668-1010",
            "fax_number": "415-668-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181701",
            "telephone_number": "415-668-1010",
            "fax_number": "415-668-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSETT",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "RNP/CNM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.