Active NPI
Maria G Sciammarella, M.D.
- Specialist
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A72324
- Practice address
- 1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154 - Phone
- (805) 782-8844
- Fax
- (805) 782-8859
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A72324 | CA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | A72324 | CA | |
| Interventional Cardiology Physician | 207RI0011X | A72324 | CA |
Addresses
Primary practice location
1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Mailing address
1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0068680 | Medicaid | CA | |
| ZZZ28458Z | Other | CA | BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-3503
Hospital & facility affiliations
- Zuckerberg San Francisco General Hosp & Trauma Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients |
Locations
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Rm 5G1
San Francisco, CA 94110
Phone (628) 206-3503
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.
-
- Cardiovascular Disease Physician
- San Francisco, CA
- NPI 1386619344
-
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1689756256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 JOHNSON AVE STE 101",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014154",
"telephone_number": "805-782-8844",
"fax_number": "805-782-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 JOHNSON AVE STE 101",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014154",
"telephone_number": "805-782-8844",
"fax_number": "805-782-8859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIAMMARELLA",
"first_name": "MARIA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A72324",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A72324",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A72324",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0068680",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ28458Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.