Firstline Diagnostic of California

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FIRSTLINE DIAGNOSTIC OF CALIFORNIA

Practice address

645 7TH St
San Francisco, CA 94103-4910

Phone

(415) 834-5364

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mordechai Pavlovsky, MD

Title

Partner

Phone

(415) 834-5364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1689020547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034910",
            "telephone_number": "415-834-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034910",
            "telephone_number": "415-834-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTLINE DIAGNOSTIC OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "PAVLOVSKY",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "415-834-5364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Luke Fischer, MD, PHD
• Eric Robert Fischer

• General Practice Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.