Active NPI
Renata G Kiefer, M.D.
- Pediatrics Physician
- San Francisco, CA
National Provider Identifier
1720222169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 53596
- Practice address
- 6 Locksley Ave Apt 10a
San Francisco, CA 94122-3878 - Phone
- (415) 731-3672
- NPI assigned
- Apr 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 53596 | MA | Primary |
Addresses
Primary practice location
6 Locksley Ave Apt 10a
San Francisco, CA 94122-3878
Mailing address
6 Locksley Ave
#10A
San Francisco, CA 94122-3854
Phone (415) 731-3672
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 |
|---|---|---|---|
| 53596 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1720222169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LOCKSLEY AVE",
"address_2": "#10A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223854",
"telephone_number": "415-731-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 LOCKSLEY AVE APT 10A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223878",
"telephone_number": "415-731-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "RENATA",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "53596",
"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 Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.