NPIMap

Individual provider Active NPI

Carla Maria Perissinotto, MD, MHS

  • Geriatric Medicine (Internal Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1790963502
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A102634 Issued in CA
Practice address
490 Illinois St FL 8
San Francisco, CA 94143-2510
Phone
(415) 476-6188
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A102634 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A102634 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A102634 CA Primary

Addresses

Primary practice location

490 Illinois St FL 8
San Francisco, CA 94143-2510

Mailing address

490 Illinois St FL 8
San Francisco, CA 94143-2510
Phone (415) 476-6188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100901000297 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0941324677 Reassigns benefits to 5 organizations
I20230518001058 GA Practitioner - Geriatric Medicine 0941324677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Health at Home LLCGroup PAC ID 7517323512, 2 clinicians

Practice addresses (Care Compare)

1635 Old 41 Hwy NW
Suite 112 216
Kennesaw, GA 30152-4480
Phone (678) 888-3313

1753 Carroll Ave
San Francisco, CA 94124-2647
Phone (415) 712-0501

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-4029

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A102634CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Jul 30, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 30, 2016 Accepting new patients
Lifelong Medical Care CurrentSince Nov 20, 2010 Accepting new patients
Sage Health at Home LLC Geriatric Medicine CurrentSince Apr 1, 2023 Accepting new patients
Lifelong Medical Care CurrentSince Nov 20, 2010 Accepting new patients
Get Aging Geriatric Medicine CurrentSince Aug 11, 2023 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jun 15, 2010 Accepting new patients
Sage Health Senior Care PC Geriatric Medicine CurrentSince Apr 1, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3333 California St
Ste 380
San Francisco, CA 94118
Phone (415) 502-8885

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

490 Illinois St
Fl 8
San Francisco, CA 94143
Phone (415) 353-2800

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

3100 Interstate North Cir SE
Ste 200
Atlanta, GA 30339
Phone (678) 404-6245

1635 Old 41 Hwy NW
Ste 112216
Kennesaw, GA 30152
Phone (678) 626-1490

1635 Old Highway 41 NW
Ste 112
Kennesaw, GA 30152

Interoperability endpoints

  • Direct secure messaging: carla.perissinotto.1@31781.direct.athenahealth.com
  • Direct secure messaging: carla.perissinotto.1@31673.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1790963502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 ILLINOIS ST FL 8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432510",
            "telephone_number": "415-476-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ILLINOIS ST FL 8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432510",
            "telephone_number": "415-476-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERISSINOTTO",
        "first_name": "CARLA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD, MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102634",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A102634",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A102634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.