NPIMap

Individual provider Active NPI

Charles U Delatore, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1679560478
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72555 Issued in CA
Practice address
2645 Ocean Ave
San Francisco, CA 94132-1633
Phone
(415) 600-5400
Fax
(415) 375-4888
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72555 CA Primary

Addresses

Primary practice location

2645 Ocean Ave
San Francisco, CA 94132-1633

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000408 CA Practitioner - Internal Medicine 2769521533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

350 Rhode Island St
Suite 200
San Francisco, CA 94103-5188
Phone (415) 826-7575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Seton Medical Center Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients
Ampla Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

795 El Camino Real
#1112
Palo Alto, CA 94301

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

350 Rhode Island St
Ste 200
San Francisco, CA 94103
Phone (415) 600-6240

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

595 Buckingham Way
Ste 515
San Francisco, CA 94132
Phone (415) 681-1102

2645 Ocean Ave
San Francisco, CA 94132
Phone (415) 333-6706

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

2645 Ocean Ave
Lbby 3
San Francisco, CA 94132
Phone (415) 519-3079

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

Interoperability endpoints

  • Direct secure messaging: cdelatore25370@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1679560478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-5400",
            "fax_number": "415-375-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321633",
            "telephone_number": "415-600-5400",
            "fax_number": "415-375-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATORE",
        "first_name": "CHARLES",
        "middle_name": "U",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.