Individual provider Active NPI

Marc Zussman, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1639231533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G29978 Issued in CA
Practice address
1939 Divisadero Street 5
San Francisco, CA 94115-2507
Phone
(415) 563-1959
Fax
(415) 563-1953
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G29978 CA Primary

Addresses

Primary practice location

1939 Divisadero Street 5
San Francisco, CA 94115-2507

Mailing address

1939 Divisadero Street 5
San Francisco, CA 94115-2507
Phone (415) 563-1959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 12, 2013 through Sep 12, 2027

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639231533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 DIVISADERO STREET 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152507",
            "telephone_number": "415-563-1959",
            "fax_number": "415-563-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 DIVISADERO STREET 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152507",
            "telephone_number": "415-563-1959",
            "fax_number": "415-563-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUSSMAN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G29978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.