Individual provider Active NPI

Earl Byrd Chism

  • Pediatric Critical Care Medicine Physician
  • San Francisco, CA
National Provider Identifier
1811630031
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
A208489 Issued in CA
Practice address
550 16TH Street
4TH Floor
San Francisco, CA 94143-0110
Phone
(415) 476-5001
NPI assigned
Apr 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A208489 CA
Pediatric Critical Care Medicine Physician 2080P0203X A208489 CA Primary

Addresses

Primary practice location

550 16TH Street
4TH Floor
San Francisco, CA 94143-0110

Mailing address

550 16TH Street
4TH Floor
San Francisco, CA 94143-0110
Phone (415) 476-5001

Other practice location 1

1001 Potrero Ave Ste 6D37
San Francisco, CA 94110-3518
Phone (916) 947-3275

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515002084 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1951742451

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

490 Illinois St
San Francisco, CA 94143-2510

550 16TH St 4TH Floor
Box 0110
San Francisco, CA 94158-2545

PO Box
Los Angeles, CA 90074

PO Box
Suite 743749
Los Angeles, CA 90074-3749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL12708CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1811630031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH STREET",
            "address_2": "4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430110",
            "telephone_number": "415-476-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH STREET",
            "address_2": "4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430110",
            "telephone_number": "415-476-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave Ste 6D37",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "916-947-3275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISM",
        "first_name": "EARL",
        "middle_name": "BYRD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A208489",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A208489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.