Individual provider Active NPI

Daniel M. Raybin, M.D.

  • Pulmonary Disease Physician
  • San Francisco, CA
National Provider Identifier
1679653711
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G30516 Issued in CA
Practice address
1 Shrader St
Suite 578
San Francisco, CA 94117-1016
Phone
(415) 668-1835
Fax
(415) 668-8248
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G30516 CA Primary

Addresses

Primary practice location

1 Shrader St
Suite 578
San Francisco, CA 94117-1016

Mailing address

1 Shrader St
Suite 578
San Francisco, CA 94117-1016
Phone (415) 668-1835

Other identifiers 1

IdentifierTypeStateIssuer
00G305160MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000870 CA Practitioner - Pulmonary Disease 0547155731 Reassigns benefits to 1 organization
Practice locations: San Francisco, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Jan 1, 2008 Accepting new patients
UCSF Health Community Hospitals CurrentSince Jan 1, 2008 Accepting new patients
Golden Gate Endocrine Specialists Medical Group, Inc Past Accepting new patients
Daniel M. Raybin, M.D. Pulmonary Disease PastSince Jan 1, 1990 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500

450 Stanyan St
Fl 5
San Francisco, CA 94117
Phone (209) 955-2328

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Organizations & group practices 5

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1679653711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 578",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-668-1835",
            "fax_number": "415-668-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 578",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-668-1835",
            "fax_number": "415-668-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBIN",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G30516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G305160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.