NPIMap

Individual provider Active NPI

Joseph A. Habis, M.D.

  • Internal Medicine Physician
  • San Rafael, CA
National Provider Identifier
1760439681
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G73451 Issued in CA
Practice address
4000 Civic Center Dr.
#200B
San Rafael, CA 94903
Phone
(415) 492-3333
Fax
(415) 492-3425
NPI assigned
May 27, 2006
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G73451 CA Primary

Addresses

Primary practice location

4000 Civic Center Dr.
#200B
San Rafael, CA 94903

Mailing address

4000 Civic Center Dr.
#200B
San Rafael, CA 94903
Phone (415) 492-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000991 CA Practitioner - Internal Medicine 9032177761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G73451CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Multi-Specialty CurrentSince Nov 1, 2018 Accepting new patients
Prima Medical Foundation Multi-Specialty CurrentSince Sep 26, 2010 Accepting new patients
Sutter Bay Hospitals Multi-Specialty Past Accepting new patients
Prima Medical Group, Inc. PastSince Sep 26, 2010 Accepting new patients
Prima Medical Group, Inc. Multi-Specialty Past Accepting new patients
Adventist Health California Medical Group, Inc. Multi-Specialty Past Accepting new patients
Marin General Hospital Multi-Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

165 Rowland Way
Ste 311
Novato, CA 94945
Phone (415) 897-9664

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

4000 Civic Center Dr
Ste 200
San Rafael, CA 94903
Phone (415) 444-0300

Interoperability endpoints

  • Direct secure messaging: jhabis87211@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1760439681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR.",
            "address_2": "#200B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-492-3333",
            "fax_number": "415-492-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR.",
            "address_2": "#200B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-492-3333",
            "fax_number": "415-492-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIS",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.