NPIMap

Organization Active NPI

Aissatou Haman MD Inc

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1619341500
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A115745 Issued in CA
Legal business name
AISSATOU HAMAN MD INC
Practice address
1 Shrader St
Suite 570
San Francisco, CA 94117-1016
Phone
(415) 867-3054
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Dr. Aissatou Haman, MDNPI 1841585700
Title
Owner
Phone
(415) 867-3054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A115745 CA Primary

Addresses

Primary practice location

1 Shrader St
Suite 570
San Francisco, CA 94117-1016

Mailing address

9030 Brentwood Blvd
Suite C
Brentwood, CA 94513-4095
Phone (925) 634-9704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160118000752 CA Part B Supplier - Clinic/Group Practice 5193028652 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

9030 Brentwood Blvd
Ste C
Brentwood, CA 94513

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1619341500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 BRENTWOOD BLVD",
            "address_2": "SUITE C",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134095",
            "telephone_number": "925-634-9704",
            "fax_number": "925-243-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 570",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-867-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AISSATOU HAMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "HAMAN",
        "authorized_official_first_name": "AISSATOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-867-3054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A115745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.