Individual provider Active NPI

Don B Azcarate, P.T.,A.T.,C

  • Orthopedic Physical Therapist
  • San Francisco, CA
National Provider Identifier
1770655334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
OPT220300 Issued in CA
Practice address
645 5TH St
San Francisco, CA 94107-1516
Phone
(415) 777-5009
Fax
(415) 777-5882
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X OPT220300 CA Primary

Addresses

Primary practice location

645 5TH St
San Francisco, CA 94107-1516

Mailing address

645 5TH St
San Francisco, CA 94107-1516
Phone (415) 777-5009

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ57908ZOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001253 CA Practitioner - Physical Therapist in Private Practice 2365330560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2238 Union St
San Francisco, CA 94123-3902
Phone (415) 777-5009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT220300CAMDOrthopedic Physical Therapist
22030CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Physical Therapy & Sports Medicine Orthopedic CurrentSince Apr 30, 2003 Accepting new patients
Golden Gate Hand Therapy, Inc. Orthopedic PastSince Jun 1, 2005 Accepting new patients

Locations

2238 Union St
San Francisco, CA 94123
Phone (415) 359-1444

645 5th St
San Francisco, CA 94107
Phone (415) 777-5009

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770655334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 5TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071516",
            "telephone_number": "415-777-5009",
            "fax_number": "415-777-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 5TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071516",
            "telephone_number": "415-777-5009",
            "fax_number": "415-777-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZCARATE",
        "first_name": "DON",
        "middle_name": "B",
        "credential": "P.T.,A.T.,C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "OPT220300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ57908Z",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.