Active NPI
Kathryn Fontwit, PA
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13637
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059758 | Other | SFGH 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13637 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Physician Assistant | Current | 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.
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Physician Assistant
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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
- 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.