Individual provider Active NPI

Olesya Pokorna

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1801281514
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A145941 Issued in CA
Practice address
582 Market St Ste 802
San Francisco, CA 94104-5309
Phone
(415) 922-9122
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A145941 CA Primary

Addresses

Primary practice location

582 Market St Ste 802
San Francisco, CA 94104-5309

Mailing address

582 Market St Ste 802
San Francisco, CA 94104-5309
Phone (415) 922-9122

Other practice location 1

401 Parnassus Ave # 984
San Francisco, CA 94143-2211
Phone (415) 476-7527

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 15, 2019 through Aug 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145941CAMDMarriage & Family Therapist
A145941CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1801281514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 802",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045309",
            "telephone_number": "415-922-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 802",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045309",
            "telephone_number": "415-922-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Parnassus Ave # 984",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432211",
            "country_code": "US",
            "telephone_number": "415-476-7527",
            "fax_number": "415-476-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POKORNA",
        "first_name": "OLESYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A145941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.