Organization Active NPI

James E. Schwanke, MD.

  • Pediatric Adolescent Medicine Physician
  • San Francisco, CA
National Provider Identifier
1811049703
Registry record updated Jun 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
G28253 Issued in CA
Legal business name
JAMES E. SCHWANKE, MD.
Practice address
3700 24TH St
San Francisco, CA 94114-3904
Phone
(415) 641-1019
Fax
(415) 826-1308
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2011

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

Authorized official

Name
Mr. Suzanne Kathleen Ferrigno
Title
Billing Manager
Phone
(707) 577-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X G28253 CA Primary

Addresses

Primary practice location

3700 24TH St
San Francisco, CA 94114-3904

Mailing address

3700 24TH St
San Francisco, CA 94114-3904
Phone (415) 641-1019

Other identifiers 1

IdentifierTypeStateIssuer
00G282530MedicaidCA

Other names 1

  • Noe Valley Pediatrics, A Medical Group Incorporaated Doing business as

National Provider Directory

National Provider Directory

Locations

3700 24th St
San Francisco, CA 94114
Phone (415) 641-1019

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308960000000",
    "number": "1811049703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143904",
            "telephone_number": "415-641-1019",
            "fax_number": "415-826-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143904",
            "telephone_number": "415-641-1019",
            "fax_number": "415-826-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. SCHWANKE, MD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-06-25",
        "status": "A",
        "authorized_official_last_name": "FERRIGNO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "707-577-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G28253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G282530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noe Valley Pediatrics, A Medical Group Incorporaated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2011; 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.