Individual provider Active NPI

David Tejeda, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1750303103
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G64599 Issued in CA
Practice address
350 Rhode Island St
San Francisco, CA 94103-5182
Phone
(415) 826-7575
Fax
(415) 369-1393
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G64599 CA Primary

Addresses

Primary practice location

350 Rhode Island St
San Francisco, CA 94103-5182

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 826-7575

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000609 CA Practitioner - Pediatric Medicine 6507867967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation Pediatrics CurrentSince Aug 1, 2017 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
St Lukes Health Care Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

350 Rhode Island St
Ste 200
San Francisco, CA 94103
Phone (415) 600-6240

1580 Valencia St
Ste 508
San Francisco, CA 94110
Phone (415) 641-2140

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

Interoperability endpoints

  • Direct secure messaging: dtejeda50475@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1750303103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-826-7575",
            "fax_number": "415-369-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RHODE ISLAND ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035182",
            "telephone_number": "415-826-7575",
            "fax_number": "415-369-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G64599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.