Individual provider Active NPI

Mark Warshaw

  • Pediatric Sports Medicine Physician
  • San Francisco, CA
National Provider Identifier
1790929396
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
C40168 Issued in CA
Practice address
8 McLea CT
San Francisco, CA 94103-4451
Phone
(415) 441-1653
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X C40168 CA Primary
Pediatric Sports Medicine Physician 2080S0010X MD.012864 LA

Addresses

Primary practice location

8 McLea CT
San Francisco, CA 94103-4451

Mailing address

8 McLea CT
San Francisco, CA 94103-4451

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

State licenses

LicenseStateTypeSpecialty
C40168CAMDPediatric Sports Medicine Physician
MD.012864LAMDPediatric Sports Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1790929396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MCLEA CT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MCLEA CT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034451",
            "telephone_number": "415-441-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAW",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "CA",
            "license": "C40168",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "LA",
            "license": "MD.012864",
            "primary": false
        }
    ],
    "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 Dec 2, 2009; 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.