Active NPI
Charles Fann
- Health Educator
- San Francisco, CA
National Provider Identifier
1780005447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 356 7TH St
San Francisco, CA 94103-4030 - Phone
- (415) 487-5506
- NPI assigned
- Dec 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
356 7TH St
San Francisco, CA 94103-4030
Mailing address
1001 National Ave
Apt. 324
San Bruno, CA 94066-5812
Phone (415) 754-8095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1780005447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NATIONAL AVE",
"address_2": "APT. 324",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940665812",
"telephone_number": "415-754-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 7TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034030",
"telephone_number": "415-487-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANN",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"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 Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.