Individual provider Active NPI

Elaine Khoong

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
National Provider Identifier
1689092405
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1001 Potrero Ave
SFGH General Medicine Clinic 1M3
San Francisco, CA 94110-3518
Phone
(415) 206-8492
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1001 Potrero Ave
SFGH General Medicine Clinic 1M3
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave
SFGH General Medicine Clinic 1M3
San Francisco, CA 94110-3518

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
I20170619002365 CA Practitioner - Internal Medicine 2466743653 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Current Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2017 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group CurrentSince May 22, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 1, 2017 Accepting new patients
City & County of San Francisco CurrentSince Oct 20, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Oct 1, 2017 Accepting new patients
University of California San Francisco CurrentSince Oct 1, 2017 Accepting new patients
City and County of San Francisco CurrentSince Oct 20, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince May 22, 2017 Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1001 Potrero Ave
#1M3
San Francisco, CA 94110
Phone (415) 206-8494

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Organizations & group practices 12

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1689092405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "SFGH GENERAL MEDICINE CLINIC 1M3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "SFGH GENERAL MEDICINE CLINIC 1M3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOONG",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.