Active NPI
Kerri Ann Masutto, M.D.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1780913442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A142746
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A142746 | CA | MD | Internal 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.