Individual provider Active NPI

Ann Omachi, MD

  • Internal Medicine Physician
  • Daly City, CA
National Provider Identifier
1780743740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G43405 Issued in CA
Practice address
1850 Sullivan Ave
#150
Daly City, CA 94015
Phone
(650) 994-2300
Fax
(650) 992-0122
NPI assigned
Dec 6, 2006
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
Internal Medicine Physician 207R00000X G43405 CA Primary

Addresses

Primary practice location

1850 Sullivan Ave
#150
Daly City, CA 94015

Mailing address

1850 Sullivan Ave
#150
Daly City, CA 94015-2230
Phone (650) 994-2300

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ83752ZMedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
My Health Medical Group Inc Internal Medicine CurrentSince May 4, 2021 Accepting new patients
Seton Medical Center Past Accepting new patients

Locations

901 Campus Dr
Ste 214
Daly City, CA 94015
Phone (415) 785-4246

901 Campus Dr
Ste 210
Daly City, CA 94015
Phone (503) 821-7002

1800 Sullivan Ave
Rm 209
Daly City, CA 94015
Phone (650) 991-4466

Interoperability endpoints

  • Direct secure messaging: ann.omachi.1@16528.direct.athenahealth.com

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780743740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "#150",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152230",
            "telephone_number": "650-994-2300",
            "fax_number": "650-992-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "#150",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-994-2300",
            "fax_number": "650-992-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMACHI",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G43405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83752Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.