Individual provider Active NPI

Traci Ise Iwamoto, M.D.

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1841566767
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
303019 Issued in LA
Practice address
1855 4TH St FL 3
San Francisco, CA 94143-2350
Phone
(415) 353-2566
NPI assigned
Mar 25, 2012
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 303019 LA Primary

Addresses

Primary practice location

1855 4TH St FL 3
San Francisco, CA 94143-2350

Mailing address

4228 Houma Blvd Suite 410
Metarie, LA 70006
Phone (504) 883-3770

Other practice location 1

4228 Houma Blvd Suite 410
Metarie, LA 70006
Phone (504) 883-3770

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
I20201015002438 CA Practitioner - Obstetrics/Gynecology 3678866472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New Mexico School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303019LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Oct 15, 2020 Accepting new patients
University of California San Francisco Obstetrics & Gynecology CurrentSince Oct 15, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 15, 2020 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Oct 15, 2020 Accepting new patients
University of California San Francisco CurrentSince Oct 15, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Golden Gate Obstetrics & Gynecology Inc a Medical Corporation Past Accepting new patients

Locations

1725 Montgomery St
Ste 200
San Francisco, CA 94111
Phone (415) 666-1250

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

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

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

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: tiwamoto560224@hisp.ehr.sutterhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841566767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD SUITE 410",
            "city": "METARIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-883-3770",
            "fax_number": "504-883-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-353-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4228 Houma Blvd Suite 410",
            "address_purpose": "LOCATION",
            "city": "Metarie",
            "state": "LA",
            "postal_code": "70006",
            "country_code": "US",
            "telephone_number": "504-883-3770",
            "fax_number": "504-883-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWAMOTO",
        "first_name": "TRACI",
        "middle_name": "ISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2025-09-11",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "303019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.