Active NPI
Ponni Subbiah
- Neurology Physician
- San Francisco, CA
National Provider Identifier
1649684143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 206270
- Practice address
- 480 Mission Bay Blvd N Unit 1306
San Francisco, CA 94158-2176 - Phone
- (917) 217-9093
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 206270 | NY | Primary |
Addresses
Primary practice location
480 Mission Bay Blvd N Unit 1306
San Francisco, CA 94158-2176
Mailing address
480 Mission Bay Blvd N Unit 1306
San Francisco, CA 94158-2176
Phone (917) 217-9093
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206270 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1649684143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 MISSION BAY BLVD N UNIT 1306",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582176",
"telephone_number": "917-217-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 MISSION BAY BLVD N UNIT 1306",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582176",
"telephone_number": "917-217-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBBIAH",
"first_name": "PONNI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "206270",
"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 Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.