Active NPI
Owen D. Renik, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1700155298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G20035
- Practice address
- 388 Market Street
Suite 1010
San Francisco, CA 94111 - Phone
- (415) 673-9692
- NPI assigned
- Dec 29, 2011
- 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 | G20035 | CA | Primary |
Addresses
Primary practice location
388 Market Street
Suite 1010
San Francisco, CA 94111
Mailing address
388 Market Street
Suite 1010
San Francisco, CA 94111
Phone (415) 673-9692
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G20035 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1700155298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 MARKET STREET",
"address_2": "SUITE 1010",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94111",
"telephone_number": "415-673-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 MARKET STREET",
"address_2": "SUITE 1010",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94111",
"telephone_number": "415-673-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENIK",
"first_name": "OWEN",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G20035",
"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 Dec 29, 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.