Active NPI
Scott Alexander Annis, MSPO, CPO
- Prosthetist
- San Francisco, CA
National Provider Identifier
1669932372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPO04158 | Other | AMERICAN 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
| Organization | Specialty | Status | New 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.
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
Prosthetist
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
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.