Active NPI
Mark H. Freeman, NP
- Primary Care Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1710019740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NPF3259
- Practice address
- 50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506 - Phone
- (415) 355-7490
- Fax
- (415) 355-7407
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN397538 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | NPF3259 | CA | Primary |
Addresses
Primary practice location
50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506
Mailing address
50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506
Phone (415) 355-7490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056283 | Other | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN397538 | CA | MD | Community Health Registered Nurse |
| NPF3259 | CA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1710019740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LECH WALESA",
"address_2": "TOM WADDELL CLINIC",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024506",
"telephone_number": "415-355-7490",
"fax_number": "415-355-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LECH WALESA",
"address_2": "TOM WADDELL CLINIC",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024506",
"telephone_number": "415-355-7490",
"fax_number": "415-355-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "MARK",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "RN397538",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NPF3259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "056283",
"state": null
}
],
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.