Jenny-Viva Eden Collisson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A84835 Issued in CA

Practice address

3901 23Rd St
San Francisco, CA 94114-3302

Phone

(415) 830-4744

Fax

(415) 291-0489

NPI assigned

Jul 8, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Apollo Medical Group

  dba Metropolitan Medical Group

  • Legal Medicine
  • San Francisco, CA
  • NPI 1497786883
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841223567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 23RD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143302",
            "telephone_number": "415-830-4744",
            "fax_number": "415-291-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 23RD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143302",
            "telephone_number": "415-830-4744",
            "fax_number": "415-291-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLISSON",
        "first_name": "JENNY-VIVA",
        "middle_name": "EDEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Collins, M.D., M.P.H.
• Wendy Richardson Collins, P.T.
• Wilzelta Collins
• Christy Amon Collinson, NP
• Steven Collinson, RN
• Nicole C Collopy
• George Henry Collyer, MD
• Matthew L Colman, D.C.
• Colmed Laboratories & Radiology
• Colmed Laboratories & Radiology

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.