Individual provider Active NPI

Amy Kyi Rattazzi

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1700558566
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95997 Issued in CA
Practice address
1901 California St Apt 6
San Francisco, CA 94109-4480
Phone
(415) 343-5889
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 95997 CA Primary

Addresses

Primary practice location

1901 California St Apt 6
San Francisco, CA 94109-4480

Mailing address

1901 California St Apt 6
San Francisco, CA 94109-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 10, 2025 through Feb 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95997CAMDNeuroradiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1700558566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CALIFORNIA ST APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CALIFORNIA ST APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094480",
            "telephone_number": "415-343-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTAZZI",
        "first_name": "AMY",
        "middle_name": "KYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.