Individual provider Active NPI

Brett Aaron Stark, MD

  • Reproductive Endocrinology Physician
  • San Francisco, CA
National Provider Identifier
1831693779
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A166780 Issued in CA
Practice address
499 Illinois St FL 6
San Francisco, CA 94158-2518
Phone
(415) 353-7475
Fax
(415) 353-7744
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X A166780 CA
Reproductive Endocrinology Physician 207VE0102X A166780 CA Primary

Addresses

Primary practice location

499 Illinois St FL 6
San Francisco, CA 94158-2518

Mailing address

499 Illinois St FL 6
San Francisco, CA 94158-2518
Phone (415) 353-7475

Other practice location 1

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-4069

Other names 1

  • Brett Aaron Clark Former name

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
I20220809002342 CA Practitioner - Obstetrics/Gynecology 8325453822 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166780CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Jul 26, 2022 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 26, 2022 Accepting new patients
University of California San Francisco CurrentSince Jul 26, 2022 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2024 Accepting new patients
University of California San Francisco CurrentSince Jul 26, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1 Daniel Burnham Ct
Ste 110C
San Francisco, CA 94109
Phone (415) 200-6259

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

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

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

499 Illinois St
Fl 6
San Francisco, CA 94158
Phone (415) 353-7475

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2356 Sutter St
Fl 6
San Francisco, CA 94115
Phone (415) 353-2170

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: bstark97410@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1831693779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 ILLINOIS ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582518",
            "telephone_number": "415-353-7475",
            "fax_number": "415-353-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 ILLINOIS ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582518",
            "telephone_number": "415-353-7475",
            "fax_number": "415-353-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-4069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "BRETT",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A166780",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A166780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRETT",
            "last_name": "CLARK",
            "middle_name": "AARON",
            "credential": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.