Individual provider Active NPI

Theodore A. Omachi, M.D.

  • Pulmonary Disease Physician
  • San Francisco, CA
National Provider Identifier
1629006846
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A87142 Issued in CA
Practice address
3333 California St
UCSF, Suite 270
San Francisco, CA 94118-1981
Phone
(475) 476-6926
Fax
(415) 814-5770
NPI assigned
Jun 28, 2006
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A87142 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A87142 CA
Pulmonary Disease Physician 207RP1001X A87142 CA Primary

Addresses

Primary practice location

3333 California St
UCSF, Suite 270
San Francisco, CA 94118-1981

Mailing address

3333 California Street
University of California San Francisco, Suite 270
San Francisco, CA 94118-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87142CAMDSocial Worker
A87142CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avant Inpatient Services Medical Group, Inc Internal Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1629006846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CALIFORNIA STREET",
            "address_2": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO, SUITE 270",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181944",
            "fax_number": "415-814-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CALIFORNIA ST",
            "address_2": "UCSF, SUITE 270",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181981",
            "telephone_number": "475-476-6926",
            "fax_number": "415-814-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMACHI",
        "first_name": "THEODORE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87142",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A87142",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A87142",
            "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 Dec 10, 2009; 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.