Organization Active NPI

Daniel V. Shalom

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1639409741
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G61002 Issued in CA
Legal business name
DANIEL V. SHALOM
Practice address
909 Hyde St Ste 124
San Francisco, CA 94109-4832
Phone
(415) 567-1956
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Chad Davis
Title
Office Manager
Phone
(415) 567-1956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G61002 CA Primary

Addresses

Primary practice location

909 Hyde St Ste 124
San Francisco, CA 94109-4832

Mailing address

909 Hyde St Ste 124
San Francisco, CA 94109-4832

National Provider Directory

National Provider Directory

Locations

909 Hyde St
Ste 124
San Francisco, CA 94109
Phone (415) 567-1956

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1639409741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 124",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 124",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832",
            "telephone_number": "415-567-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL V. SHALOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-567-1956"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G61002",
            "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 Jan 12, 2010; 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.