Organization Active NPI

Charles K. Morris, MD, Facc, Inc

  • Cardiovascular Disease Physician
  • San Francisco, CA
National Provider Identifier
1740588102
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G61056 Issued in CA
Legal business name
CHARLES K. MORRIS, MD, FACC, INC
Practice address
2100 Webster St
521
San Francisco, CA 94115-2373
Phone
(415) 885-8650
Fax
(415) 885-8640
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Patricia Quetel
Title
Practice Manager
Phone
(415) 902-8578

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G61056 CA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X G61056 CA Primary

Addresses

Primary practice location

2100 Webster St
521
San Francisco, CA 94115-2373

Mailing address

2100 Webster St
521
San Francisco, CA 94115-2373
Phone (415) 885-8650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000681 CA Part B Supplier - Clinic/Group Practice 4587821871 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1740588102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "521",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-885-8650",
            "fax_number": "415-885-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "521",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-885-8650",
            "fax_number": "415-885-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES K. MORRIS, MD, FACC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "QUETEL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "415-902-8578"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G61056",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G61056",
            "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 Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.