Infectious Diseases Associates Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G039318 Issued in CA

Legal business name

INFECTIOUS DISEASES ASSOCIATES MEDICAL GROUP INC

Practice address

2100 Webster St
Suite 400
San Francisco, CA 94115-2378

Phone

(415) 923-3883

Fax

(415) 749-5705

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

David F. Busch, M.D.

Title

President

Phone

(415) 923-3883

Specialties & licenses 1

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1730294117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152378",
            "telephone_number": "415-923-3883",
            "fax_number": "415-749-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152378",
            "telephone_number": "415-923-3883",
            "fax_number": "415-749-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-923-3883",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G039318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Living Resource Center San Francisco
• Individual Application
• Lois Anne Indorf, NURSE PRACTITIONER
• Abert Thomas Indresano, D.M.D.
• Inessa Svidler M.D., Inc
• Infectious Diseases Consultants Medical Grup Inc
• Informed Sources, Inc.
• Andrew Infosino, MD
• Infuse One Ca LLC
• Laura Inger, OD

• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.