Individual provider Active NPI

Chris London Carpenter, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1689872301
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A99990 Issued in CA
Practice address
1001 Potrero Ave. BLDG. 5, #6M
San Francisco, CA 94110
Phone
(628) 206-8361
Fax
(628) 206-3686
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A99990 CA Primary

Addresses

Primary practice location

1001 Potrero Ave. BLDG. 5, #6M
San Francisco, CA 94110

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749

Other practice location 1

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-5010

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
I20080822000431 CA Practitioner - Pediatric Medicine 6103991393 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey CurrentSince Dec 15, 2015 Accepting new patients
County of Monterey Behavioral Health CurrentSince Dec 15, 2015 Accepting new patients
University of California SFGH Medical Group CurrentSince Dec 1, 2016 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jun 1, 2013 Accepting new patients
City and County of San Francisco CurrentSince Sep 1, 2020 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 1, 2013 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 1, 2013 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Dec 1, 2016 Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

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

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

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

500 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-4562

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

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

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

Interoperability endpoints

  • Direct secure messaging: ccarpenter72455@direct.whhs.com
  • Direct secure messaging: ccarpenter59407@direct-ucsfmedicalcenter.org
  • Direct secure messaging: ccarpenter264224@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1689872301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743749",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE. BLDG. 5, #6M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "628-206-8361",
            "fax_number": "628-206-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHRIS",
        "middle_name": "LONDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A99990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.