Amanda A. Wulfstat, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A103634 Issued in CA

Practice address

3580 California St
Suite 101
San Francisco, CA 94118-1725

Phone

(415) 830-3090

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Noa Anbar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: amanda.wulfstat@412963523788804.direct.elationemr.com

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1730354820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 CALIFORNIA ST",
            "address_2": "SUITE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181725",
            "telephone_number": "415-830-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 CALIFORNIA ST",
            "address_2": "SUITE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181725",
            "telephone_number": "415-830-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFSTAT",
        "first_name": "AMANDA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ANBAR",
            "middle_name": "NOA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Richard Carl Wuerthner, AMFT
• Lee Wugofski, MD, MPH
• Vivian Lian Wung, MD
• Doris Wurah
• Lisa Marie Wurst
• Lincoln Wurtz
• Robert Aaron Wuthenow, PMHNP

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.