Individual provider Active NPI

Deborah Ann Altemus, DO

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1821180993
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DO25354 Issued in OR
Practice address
909 Hyde St
Suite 423
San Francisco, CA 94109-4822
Phone
(415) 885-4343
Fax
(415) 885-4267
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DO25354 OR Primary

Addresses

Primary practice location

909 Hyde St
Suite 423
San Francisco, CA 94109-4822

Mailing address

909 Hyde St
Suite 423
San Francisco, CA 94109-4822
Phone (415) 885-4343

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
I20081022000620 CA Practitioner - Dermatology 8628002847 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Sebastopol Medical Group Inc CurrentSince Aug 20, 2018 Accepting new patients
University of California SFGH Medical Group Dermatology CurrentSince Jun 15, 2014 Accepting new patients
Eye Associates of Sebastopol Medical Group CurrentSince Aug 20, 2018 Accepting new patients
County of San Mateo Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 15, 2014 Accepting new patients
Regents of the University of California CurrentSince Sep 4, 2018 Accepting new patients
Regents of the University of California CurrentSince Sep 4, 2018 Accepting new patients
County of San Mateo CurrentSince Aug 31, 2012 Accepting new patients
County of San Mateo CurrentSince Aug 31, 2012 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc Dermatology Past Accepting new patients
Premier Dermatology a Medical Corporation PastSince Feb 1, 2016 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

995 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (628) 206-4777

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

6880 Palm Ave
Sebastopol, CA 95472
Phone (707) 769-1074

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1821180993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE 423",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-885-4343",
            "fax_number": "415-885-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE 423",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-885-4343",
            "fax_number": "415-885-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTEMUS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "DO25354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.