Active NPI
Jacqueline Chloe Dolev, M.D.
- Dermatology Physician
- San Francisco, CA
National Provider Identifier
1659403707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A80239
- Practice address
- 2100 Webster St
411
San Francisco, CA 94115-2373 - Phone
- (415) 923-3970
- Fax
- (415) 923-3975
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A80239 | CA | Primary |
Addresses
Primary practice location
2100 Webster St
411
San Francisco, CA 94115-2373
Mailing address
2100 Webster St
411
San Francisco, CA 94115-2373
Phone (415) 923-3970
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
- Opted out of Medicare
- Previously, effective Aug 10, 2018 through Aug 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80239 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Medical Group of SF | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- San Francisco, CA
- NPI 1982838504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1659403707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "411",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "415-923-3970",
"fax_number": "415-923-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "411",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "415-923-3970",
"fax_number": "415-923-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLEV",
"first_name": "JACQUELINE",
"middle_name": "CHLOE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A80239",
"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 Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.