Individual provider Active NPI

Ann L. Dallman, MD

  • Public Health & General Preventive Medicine Physician
  • San Francisco, CA
National Provider Identifier
1821146564
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
G74481 Issued in CA
Practice address
50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506
Phone
(415) 355-7471
Fax
(415) 355-7408
NPI assigned
Jan 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G74481 CA
Public Health & General Preventive Medicine Physician 2083P0901X G74481 CA Primary

Addresses

Primary practice location

50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506

Mailing address

50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506
Phone (415) 355-7471

Other identifiers 1

IdentifierTypeStateIssuer
047944OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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
I20080929000141 CA Practitioner - Family Practice 3173690419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G74481CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Apr 1, 1994 Accepting new patients
City & County of San Francisco CurrentSince Apr 1, 1994 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

234 Eddy St
San Francisco, CA 94102
Phone (415) 353-5095

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

50 Lech Walesa
San Francisco, CA 94102
Phone (415) 355-7400

Organizations & group practices 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821146564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "TOM WADDELL CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7471",
            "fax_number": "415-355-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "TOM WADDELL CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7471",
            "fax_number": "415-355-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLMAN",
        "first_name": "ANN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G74481",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G74481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "047944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.