Active NPI
Brian James Secemsky, M.D.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1790044519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 128809
- Practice address
- 501 2ND St Ste 415
San Francisco, CA 94107-4132 - Phone
- (415) 529-4567
- Fax
- (415) 291-0489
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 128809 | CA | Primary |
Addresses
Primary practice location
501 2ND St Ste 415
San Francisco, CA 94107-4132
Mailing address
501 2ND St Ste 415
San Francisco, CA 94107-4132
Phone (415) 529-4567
Other practice location 1
4 Embarcadero Ctr
Lobby Level
San Francisco, CA 94111-4106
Phone (415) 529-4566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 11, 2024 through Sep 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128809 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1790044519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 2ND ST STE 415",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941074132",
"telephone_number": "415-529-4567",
"fax_number": "415-291-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 2ND ST STE 415",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941074132",
"telephone_number": "415-529-4567",
"fax_number": "415-291-0489"
}
],
"practiceLocations": [
{
"address_1": "4 Embarcadero Ctr",
"address_2": "Lobby Level",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941114106",
"country_code": "US",
"telephone_number": "415-529-4566",
"fax_number": "415-291-0489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SECEMSKY",
"first_name": "BRIAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "128809",
"primary": true
}
],
"identifiers": [],
"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 May 20, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.