Individual provider Active NPI

Jean L Talleyrand, M.D.

  • General Practice Physician
  • San Francisco, CA
National Provider Identifier
1689963456
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A61572 Issued in CA
Practice address
1426 Fillmore St
Suite 206
San Francisco, CA 94115-5236
Phone
(415) 722-5195
Fax
(415) 704-3324
NPI assigned
Apr 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A61572 CA Primary

Addresses

Primary practice location

1426 Fillmore St
Suite 206
San Francisco, CA 94115-5236

Mailing address

PO Box 174
Yorkville, CA 95494-0174
Phone (415) 722-5195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61572CAMDPharmacist
A61572CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthotic and Prosthetic Services, Inc PastSince Apr 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1689963456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "YORKVILLE",
            "state": "CA",
            "postal_code": "954940174",
            "telephone_number": "415-722-5195",
            "fax_number": "415-704-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 FILLMORE ST",
            "address_2": "SUITE 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941155236",
            "telephone_number": "415-722-5195",
            "fax_number": "415-704-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEYRAND",
        "first_name": "JEAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A61572",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.