Individual provider Active NPI

Kathryn Fontwit, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1780701151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13637 Issued in CA
Practice address
1001 Potrero Ave BLDG 100 RM 350
SFGH Renal
San Francisco, CA 94110-3518
Phone
(415) 206-8242
Fax
(415) 285-2389
NPI assigned
Mar 23, 2007
Sex
Female
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
Physician Assistant 363A00000X PA13637 CA Primary

Addresses

Primary practice location

1001 Potrero Ave BLDG 100 RM 350
SFGH Renal
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave BLDG 100 RM 350
SFGH Renal
San Francisco, CA 94110-3518
Phone (415) 206-8242

Other identifiers 1

IdentifierTypeStateIssuer
059758OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000850 CA Practitioner - Physician Assistant 4082883939 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13637CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince May 11, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince May 11, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince May 11, 2021 Accepting new patients
City and County of San Francisco CurrentSince Jun 18, 2011 Accepting new patients
City & County of San Francisco Physician Assistant CurrentSince Jun 18, 2011 Accepting new patients

Locations

1001 Potrero Ave
Bldg 100
San Francisco, CA 94110
Phone (415) 476-4617

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

Organizations & group practices 8

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780701151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE BLDG 100 RM 350",
            "address_2": "SFGH RENAL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8242",
            "fax_number": "415-285-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE BLDG 100 RM 350",
            "address_2": "SFGH RENAL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8242",
            "fax_number": "415-285-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTWIT",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "059758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.