Active NPI
John H. Fisher, M.D.
- Gastroenterology Physician
- Daly City, CA
National Provider Identifier
1639179799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G25678
- Practice address
- 1850 Sullivan Avenue #520
Daly City, CA 94015 - Phone
- (650) 756-5000
- Fax
- (650) 756-5903
- NPI assigned
- Jul 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G25678 | CA | Primary |
Addresses
Primary practice location
1850 Sullivan Avenue #520
Daly City, CA 94015
Mailing address
1850 Sullivan Avenue #520
Daly City, CA 94015
Phone (650) 756-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0092050 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639179799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SULLIVAN AVENUE #520",
"city": "DALY CITY",
"state": "CA",
"postal_code": "94015",
"telephone_number": "650-756-5000",
"fax_number": "650-756-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SULLIVAN AVENUE #520",
"city": "DALY CITY",
"state": "CA",
"postal_code": "94015",
"telephone_number": "650-756-5000",
"fax_number": "650-756-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JOHN",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G25678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0092050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.