Active NPI
Lowell T. Nicholson, MD
- Dermatology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A159922
- Practice address
- 505 Parnassus Ave
Room M-987
San Francisco, CA 94143-2204 - Phone
- (415) 476-1528
- NPI assigned
- Mar 25, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 12441612-1205 | UT | |
| Dermatology Physician | 207N00000X | A159922 | CA | Primary |
Addresses
Primary practice location
505 Parnassus Ave
Room M-987
San Francisco, CA 94143-2204
Mailing address
1701 Divisadero St FL 4
San Francisco, CA 94115-3011
Other practice location 1
30 N 1900 E Rm 4A330
Salt Lake City, UT 84132-0002
Phone (801) 581-6465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Duke University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-1000
2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029
3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020
400 Parnassus Ave
San Francisco, CA 94143-2202
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- UCSF Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 127 |
| Skin biopsy | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159922 | CA | MD | Dermatology Physician |
| 12441612-1205 | UT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Dermatology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
1701 Divisadero St
Fl 4
San Francisco, CA 94115
Phone (415) 353-7800
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
Rm M987
San Francisco, CA 94143
Phone (415) 476-1528
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
Interoperability endpoints
- lnicholson86648@direct-ucsfmedicalcenter.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Dermatology
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1780115261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 DIVISADERO ST FL 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"address_2": "ROOM M-987",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "415-476-1528"
}
],
"practiceLocations": [
{
"address_1": "30 N 1900 E Rm 4A330",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841320002",
"country_code": "US",
"telephone_number": "801-581-6465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLSON",
"first_name": "LOWELL",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-25",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "UT",
"license": "12441612-1205",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A159922",
"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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.