Active NPI
Theodore A. Omachi, M.D.
- Pulmonary Disease Physician
- San Francisco, CA
National Provider Identifier
1629006846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A87142
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 87142 | CA | MD | Social Worker |
| A87142 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Castro Valley, CA
- NPI 1336106897
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.