Individual provider Active NPI

Scott Alexander Annis, MSPO, CPO

  • Prosthetist
  • San Francisco, CA
National Provider Identifier
1669932372
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
1500 Owens St Ste 115
San Francisco, CA 94158-2338
Phone
(415) 476-1788
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Primary

Addresses

Primary practice location

1500 Owens St Ste 115
San Francisco, CA 94158-2338

Mailing address

1500 Owens St Ste 1500
San Francisco, CA 94158-2334

Other practice location 1

1825 4th St # M5304
San Francisco, CA 94143-2350
Phone (415) 476-1788

Other practice location 2

400 Parnassus Ave # A096
San Francisco, CA 94143-2202
Phone (415) 476-1788

Other identifiers 1

IdentifierTypeStateIssuer
CPO04158OtherAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC.

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

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services Prosthetist Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1669932372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 1500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582338",
            "telephone_number": "415-476-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 4th St # M5304",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432350",
            "country_code": "US",
            "telephone_number": "415-476-1788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Parnassus Ave # A096",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432202",
            "country_code": "US",
            "telephone_number": "415-476-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANNIS",
        "first_name": "SCOTT",
        "middle_name": "ALEXANDER",
        "credential": "MSPO, CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC.",
            "identifier": "CPO04158",
            "state": null
        }
    ],
    "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 Mar 20, 2019; 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.