Individual provider Active NPI

Victoria Chaudhary, FNP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1801304118
Registry record updated Jan 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95007320 Issued in CA
Practice address
2250 Hayes St Ste 206
San Francisco, CA 94117-1078
Phone
(415) 379-6100
NPI assigned
Jan 21, 2018
Last updated
Jan 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95007320 CA Primary

Addresses

Primary practice location

2250 Hayes St Ste 206
San Francisco, CA 94117-1078

Mailing address

3205 Aegean Way
San Bruno, CA 94066-4554
Phone (415) 722-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420002218 CA Practitioner - Nurse Practitioner 3375806524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95007320CAMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1801304118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 AEGEAN WAY",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664554",
            "telephone_number": "415-722-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST STE 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-379-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "VICTORIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95007320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.