Organization Active NPI

Dawa Advanced Medical Clinic Inc.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1720211790
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAWA ADVANCED MEDICAL CLINIC INC.
Practice address
182 Gough St
San Francisco, CA 94102-5918
Phone
(415) 295-1595
Fax
(415) 358-4878
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Manish A Varma, MD
Title
Owner/Administrator
Phone
(415) 295-1595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

182 Gough St
San Francisco, CA 94102-5918

Mailing address

182 Gough St
San Francisco, CA 94102-5918
Phone (415) 558-8970

National Provider Directory

National Provider Directory

Locations

182 Gough St
San Francisco, CA 94102
Phone (415) 295-1595

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1720211790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 GOUGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025918",
            "telephone_number": "415-558-8970",
            "fax_number": "415-358-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 GOUGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025918",
            "telephone_number": "415-295-1595",
            "fax_number": "415-358-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWA ADVANCED MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "415-295-1595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Jan 12, 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.

Verify at the official NPI Registry.