Organization Active NPI

Saint Francis Medical Group

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1689689069
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAINT FRANCIS MEDICAL GROUP
Practice address
909 Hyde St Ste 125
San Francisco, CA 94109-4832
Phone
(415) 771-4366
Fax
(415) 771-6412
NPI assigned
Jul 31, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Jean Khouri Haddad
Title
M.D
Phone
(415) 771-4366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

909 Hyde St Ste 125
San Francisco, CA 94109-4832

Mailing address

909 Hyde St Ste 125
San Francisco, CA 94109-4832
Phone (415) 771-4366

Other identifiers 3

IdentifierTypeStateIssuer
05D0593636OtherCACLIA#
GR0076920MedicaidCA
LAB93636FOtherCAMEDICAL CLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000225 CA Part B Supplier - Clinic/Group Practice 4587669759 Receives reassigned benefits from 5 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1689689069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 125",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832",
            "telephone_number": "415-771-4366",
            "fax_number": "415-771-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 125",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832",
            "telephone_number": "415-771-4366",
            "fax_number": "415-771-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "KHOURI",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "415-771-4366"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "05D0593636",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CLIA",
            "identifier": "LAB93636F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.