Individual provider Active NPI

Kerri Ann Masutto, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1780913442
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A142746 Issued in CA
Practice address
600 California St FL 11
San Francisco, CA 94108
Phone
(415) 515-9382
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 A142746 CA Primary

Addresses

Primary practice location

600 California St FL 11
San Francisco, CA 94108

Mailing address

600 California St FL 11
San Francisco, CA 94108-2727
Phone (415) 515-9382

Other practice location 1

5601 Great Oaks Pkwy Bldg 50A
Drive Wellness Center
San Jose, CA 95119
Phone (669) 255-0734 ext. 1

Other names 1

  • Kerri Ann McKiou Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A142746CAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1780913442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CALIFORNIA ST FL 11",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941082727",
            "telephone_number": "415-515-9382",
            "fax_number": "408-618-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CALIFORNIA ST FL 11",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-515-9382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Great Oaks Pkwy Bldg 50A",
            "address_2": "Drive Wellness Center",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95119",
            "country_code": "US",
            "telephone_number": "669-255-0734 x1",
            "fax_number": "408-618-6272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASUTTO",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A142746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "MCKIOU",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 28, 2019; 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.