Individual provider Active NPI

Sarah J Maxwell, PA

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1740303288
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19114 Issued in CA
Practice address
110 Sutter St Ste 200
Metropolitan Medical Group
San Francisco, CA 94104-4008
Phone
(415) 291-0480
Fax
(415) 291-0489
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19114 CA Primary

Addresses

Primary practice location

110 Sutter St Ste 200
Metropolitan Medical Group
San Francisco, CA 94104-4008

Mailing address

130 Sutter St
FL 2
San Francisco, CA 94104-4009
Phone (415) 291-0480

Other identifiers 1

IdentifierTypeStateIssuer
PA 19114OtherCALICENSE NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160902002023 CA Practitioner - Physician Assistant 7012208747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19114CAMDAcupuncturist
PA19114CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Jul 27, 2016 Accepting new patients
One Medical Group, Inc CurrentSince Jul 27, 2016 Accepting new patients
Apollo Medical Group Past Accepting new patients

Locations

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

110 Sutter St
Ste 200
San Francisco, CA 94104

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1740303288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST",
            "address_2": "FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-291-0480",
            "fax_number": "415-291-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SUTTER ST STE 200",
            "address_2": "METROPOLITAN MEDICAL GROUP",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044008",
            "telephone_number": "415-291-0480",
            "fax_number": "415-291-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "PA 19114",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.