Active NPI
Amy Rossi
- Counselor
- San Francisco, CA
National Provider Identifier
1700214202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 100 Masonic Ave
San Francisco, CA 94118-4415 - Phone
- (415) 567-8370
- Fax
- (415) 346-2356
- NPI assigned
- Oct 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 36386 | CA | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
100 Masonic Ave
San Francisco, CA 94118-4415
Mailing address
545 Estudillo Ave
San Leandro, CA 94577-4611
Phone (510) 352-0336
Other practice location 1
545 Estudillo Ave
San Leandro, CA 94577-4611
Phone (510) 352-0336
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36386 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700214202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 ESTUDILLO AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774611",
"telephone_number": "510-352-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MASONIC AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941184415",
"telephone_number": "415-567-8370",
"fax_number": "415-346-2356"
}
],
"practiceLocations": [
{
"address_1": "545 Estudillo Ave",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945774611",
"country_code": "US",
"telephone_number": "510-352-0336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSI",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "36386",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.