Individual provider Active NPI

Effiem J Abbah, MD, MPH

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1821185133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89092 Issued in CA
Practice address
601 Van Ness Ave Ste 2008
San Francisco, CA 94102-6310
Phone
(415) 674-7000
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89092CAMDFamily Medicine Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A89092 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

601 Van Ness Ave Ste 2008
San Francisco, CA 94102-6310

Mailing address

1465 65TH St Apt 348
Emeryville, CA 94608-1171
Phone (510) 923-0270

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821185133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 65TH ST APT 348",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081171",
            "telephone_number": "510-923-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE STE 2008",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026310",
            "telephone_number": "415-674-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAH",
        "first_name": "EFFIEM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89092",
            "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 8, 2007; 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.