Active NPI
Noname Pubuzhuoga
- Phlebotomy Technician
- San Francisco, CA
National Provider Identifier
1811329048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- CPT30943
- Practice address
- 2460 22ND St,BLDG 90, 4TH Floor
TB Clinic
San Francisco, CA 94110 - Phone
- (415) 206-3288
- Fax
- (415) 206-4565
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | CPT30943 | CA | Primary |
Addresses
Primary practice location
2460 22ND St,BLDG 90, 4TH Floor
TB Clinic
San Francisco, CA 94110
Mailing address
2460 22ND St,BLDG 90, 4TH Floor
TB Clinic
San Francisco, CA 94110
Phone (415) 206-3288
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
| License | State | Type | Specialty |
|---|---|---|---|
| CPT30943 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1811329048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 22ND ST,BLDG 90, 4TH FLOOR",
"address_2": "TB CLINIC",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-206-3288",
"fax_number": "415-206-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 22ND ST,BLDG 90, 4TH FLOOR",
"address_2": "TB CLINIC",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-206-3288",
"fax_number": "415-206-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUBUZHUOGA",
"first_name": "NONAME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "CPT30943",
"primary": true
}
],
"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 Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.