Organization Active NPI

Telegraph Hill Family Medical Group,Inc

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1750345260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G49382 Issued in CA
Legal business name
TELEGRAPH HILL FAMILY MEDICAL GROUP,INC
Practice address
1 Shrader St
Suite 500
San Francisco, CA 94117-1016
Phone
(415) 831-6441
Fax
(415) 831-6443
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benjamin Zee Fong, M.D. FAAFP
Title
Owner
Phone
(415) 831-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G49382 CA Primary

Addresses

Primary practice location

1 Shrader St
Suite 500
San Francisco, CA 94117-1016

Mailing address

1 Shrader St
Suite 500
San Francisco, CA 94117-1016
Phone (415) 831-6441

Other identifiers 1

IdentifierTypeStateIssuer
00G493820MedicaidCA

National Provider Directory

National Provider Directory

Locations

660 Lombard St
San Francisco, CA 94133

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750345260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-831-6441",
            "fax_number": "415-831-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-831-6441",
            "fax_number": "415-831-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEGRAPH HILL FAMILY MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ZEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-831-6441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. FAAFP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G49382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G493820",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.