Active NPI
David Sutherland, M.D., PH.D.
- Psychiatry Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A72874
- Practice address
- 450 Gough St
San Francisco, CA 94102-4425 - Phone
- (415) 863-6700
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A72874 | CA | Primary |
Addresses
Primary practice location
450 Gough St
San Francisco, CA 94102-4425
Mailing address
450 Gough St FL 2
San Francisco, CA 94102-4425
Phone (415) 863-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A72874 | Other | CA | MEDICAL LICENSE |
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
- Psychiatry
- Education
- Stanford University School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
450 Gough St
San Francisco, CA 94102-4425
Phone (415) 863-6700
Hospital & facility affiliations
- Zuckerberg San Francisco General Hosp & Trauma Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72874 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | 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 | Psychiatry | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients |
Locations
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Rm 7M
San Francisco, CA 94110
Phone (415) 206-5612
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.
-
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1356316418
-
- 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": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1699718783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 GOUGH ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024425",
"telephone_number": "415-863-7000",
"fax_number": "855-320-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024425",
"telephone_number": "415-863-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "DAVID",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A72874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A72874",
"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 Sep 4, 2023; 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.