Active NPI
Brent Edison James, OTS
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1821379405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 425 Divisadero St
Suite 301
San Francisco, CA 94117-2242 - Phone
- (415) 551-0975
- Fax
- (415) 551-1763
- NPI assigned
- Sep 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
425 Divisadero St
Suite 301
San Francisco, CA 94117-2242
Mailing address
540 Leavenworth St
201
San Francisco, CA 94109-7573
Phone (989) 415-0311
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Services for Groups | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1558555730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1821379405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 LEAVENWORTH ST",
"address_2": "201",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097573",
"telephone_number": "989-415-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 DIVISADERO ST",
"address_2": "SUITE 301",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172242",
"telephone_number": "415-551-0975",
"fax_number": "415-551-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "BRENT",
"middle_name": "EDISON",
"name_prefix": "Mr.",
"credential": "OTS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"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 Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.