Organization Active NPI

Derald L Seid D O a Medical Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • San Francisco, CA
National Provider Identifier
1760466577
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20A4784 Issued in CA
Legal business name
DERALD L SEID D O A MEDICAL CORPORATION
Practice address
2250 Hayes St
Suite 500
San Francisco, CA 94117-1078
Phone
(415) 221-1901
Fax
(415) 221-1903
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Derald L Seid, DO
Title
President
Phone
(415) 221-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X 20A4784 CA Primary

Addresses

Primary practice location

2250 Hayes St
Suite 500
San Francisco, CA 94117-1078

Mailing address

2250 Hayes St
Suite 500
San Francisco, CA 94117-1078
Phone (415) 221-1901

National Provider Directory

National Provider Directory

Locations

2250 Hayes St
Ste 500
San Francisco, CA 94117
Phone (415) 221-1901

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": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1760466577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-221-1901",
            "fax_number": "415-221-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-221-1901",
            "fax_number": "415-221-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERALD L SEID D O A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "SEID",
        "authorized_official_first_name": "DERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-221-1901",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "20A4784",
            "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 Jul 2, 2015; 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.