Organization Active NPI

Optimus Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1649416496
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A626830 Issued in CA
Legal business name
OPTIMUS MEDICAL GROUP INC
Practice address
870 Market St
Suite 600
San Francisco, CA 94102-3002
Phone
(415) 397-0700
Fax
(415) 397-6805
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Shawn K Hassler, M.D.NPI 1427122928
Title
Medical Director
Phone
(415) 397-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A626830 CA Primary

Addresses

Primary practice location

870 Market St
Suite 600
San Francisco, CA 94102-3002

Mailing address

870 Market St
Suite 600
San Francisco, CA 94102-3002
Phone (415) 397-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110808000746 CA Part B Supplier - Clinic/Group Practice 8325217391 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

870 Market St
Ste 423
San Francisco, CA 94102
Phone (415) 767-5188

870 Market St
Ste 600
San Francisco, CA 94102
Phone (415) 397-0700

Practitioners & affiliated clinicians

Practitioners 2

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": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1649416496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST",
            "address_2": "SUITE 600",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023002",
            "telephone_number": "415-397-0700",
            "fax_number": "415-397-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST",
            "address_2": "SUITE 600",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023002",
            "telephone_number": "415-397-0700",
            "fax_number": "415-397-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "HASSLER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-397-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A626830",
            "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 Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.