Active NPI
Rafael Gonzalez-Amado, MD
- Hematology & Oncology Physician
- South San Francisco, CA
National Provider Identifier
1639194848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A51030
- Practice address
- 210 E Grand Ave
South San Francisco, CA 94080-4811 - Phone
- (610) 551-2740
- NPI assigned
- Jul 12, 2006
- Last updated
- Jun 20, 2022
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | A51030 | CA | Primary |
Addresses
Primary practice location
210 E Grand Ave
South San Francisco, CA 94080-4811
Mailing address
File #55737
Los Angeles, CA 90074
Phone (310) 301-8708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A510300 | Other | CA | MEDICAL PPIN # |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A51030 | CA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1639194848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE #55737",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90074",
"telephone_number": "310-301-8708",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E GRAND AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940804811",
"telephone_number": "610-551-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-AMADO",
"first_name": "RAFAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A51030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PPIN #",
"identifier": "00A510300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.