Active NPI
Carolina Ellinger Da Fonseca, MD
- Pediatrics Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A196003
- Practice address
- 1975 4TH St
San Francisco, CA 94143-2351 - Phone
- (415) 514-4079
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A196003 | CA | Primary |
| Pediatrics Physician | 208000000X | 4351047788 | MI |
Addresses
Primary practice location
1975 4TH St
San Francisco, CA 94143-2351
Mailing address
22201 Moross Rd Ste 80
Detroit, MI 48236-2169
Phone (313) 343-3800
Other practice location 1
22201 Moross Rd Ste 80
Detroit, MI 48236-2169
Phone (313) 343-3800
Other names 1
- Carolina Fonseca
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A196003 | CA | MD | Pediatrics Physician |
| 4351047788 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| UCSF Pediatrics Associates | Pediatrics | Current | Accepting new patients |
| Regents Univ of California UCSF | Pediatrics | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
Locations
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000
Interoperability endpoints
- cellingerdafonseca368733@direct-ucsfmedicalcenter.org
- cfonseca808414@direct.hfhs.org
- cellingerdafonseca151979@direct.whhs.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
Pediatrics
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Pediatrics
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1689253403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22201 MOROSS RD STE 80",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362169",
"telephone_number": "313-343-3800",
"fax_number": "313-343-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 4TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432351",
"telephone_number": "415-514-4079"
}
],
"practiceLocations": [
{
"address_1": "22201 Moross Rd Ste 80",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362169",
"country_code": "US",
"telephone_number": "313-343-3800",
"fax_number": "313-343-4756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLINGER DA FONSECA",
"first_name": "CAROLINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A196003",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4351047788",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINA",
"last_name": "FONSECA",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.