Individual provider Active NPI

Stephanie Teixeira, M.D.

  • Neuroradiology Physician
  • San Francisco, CA
National Provider Identifier
1659725190
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A159997 Issued in CA
Practice address
505 Parnassus Ave # M391
San Francisco, CA 94143-2204
Phone
(415) 476-1537
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A159997 CA
Neuroradiology Physician 2085N0700X A159997 CA Primary

Addresses

Primary practice location

505 Parnassus Ave # M391
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave # M391
San Francisco, CA 94143-2204
Phone (415) 476-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201002001611 CA Practitioner - Diagnostic Radiology 1557780079 Reassigns benefits to 4 organizations
I20230803001027 OR Practitioner - Diagnostic Radiology 1557780079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A159997CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Aug 28, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince Apr 15, 2022 Accepting new patients
Good Shepherd Health Care System CurrentSince Jun 1, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 27, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 27, 2022 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Apr 15, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 27, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 27, 2022 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
#M391
San Francisco, CA 94143
Phone (415) 476-1537

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1659725190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXEIRA",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A159997",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A159997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.