St Francis Ophthalmology Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ST FRANCIS OPHTHALMOLOGY GROUP

Practice address

1440 Southgate Ave
Daly City, CA 94015-2246

Phone

(650) 992-1300

Fax

(650) 992-8391

NPI assigned

Jul 5, 2006

Last updated

Jun 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Trudy K Marin

Title

Accounts Manager

Phone

(650) 992-1300

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• St Francis Ophthalmology Group

  • Ophthalmology Physician
  • San Francisco, CA
  • NPI 1588726491
  NPPES parent name

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1649200304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 SOUTHGATE AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152246",
            "telephone_number": "650-992-1300",
            "fax_number": "650-992-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 SOUTHGATE AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152246",
            "telephone_number": "650-992-1300",
            "fax_number": "650-992-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS OPHTHALMOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "650-992-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE/GROUP",
            "identifier": "DB7796",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD-SG",
            "identifier": "ZZZ47199Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William Stafford

• Ophthalmology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.