Nancy J V Bohannon, MD, Medical Corporation

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A25795 Issued in CA

Legal business name

NANCY J V BOHANNON, MD, MEDICAL CORPORATION

Practice address

1580 Valencia St
Ste 504
San Francisco, CA 94110-4423

Phone

(415) 648-7622

Fax

(415) 648-6805

NPI assigned

Oct 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nancy J Bohannon, MD

Title

President

Phone

(415) 648-7622

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1699059113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "STE 504",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-648-7622",
            "fax_number": "415-648-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "STE 504",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-648-7622",
            "fax_number": "415-648-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY J V BOHANNON, MD, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-648-7622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A25795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A25795",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalicia Nance
• Dawn Michelle Nance, RN, MS, NP
• Latonya Nance
• Patrick N. Nance, MD
• Nancy Hong Acupuncture
• Nancy Kwon Hsieh, DDS, Inc
• Nancy L Carteron, M.D., a Medical Corporation
• Nancy Shane, Au.D.
• Ashwin Nanda, D.D.S.
• Saraswathi Vasudeo Nandagiri X

• Endocrinology, Diabetes & Metabolism Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.