Active NPI
Ryan Fuimaono
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1851716898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33428
- Practice address
- 3801 17TH St
San Francisco, CA 94114-2007 - Phone
- (415) 934-7731
- Fax
- (415) 558-8221
- NPI assigned
- Feb 27, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 33428 | CA | Primary |
Addresses
Primary practice location
3801 17TH St
San Francisco, CA 94114-2007
Mailing address
1380 Howard St FL 2
San Francisco, CA 94103-2649
Phone (415) 271-3733
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71170 | CA | MD | Mental Health Counselor |
| 33428 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1851716898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 HOWARD ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032649",
"telephone_number": "415-271-3733",
"fax_number": "415-558-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 17TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142007",
"telephone_number": "415-934-7731",
"fax_number": "415-558-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUIMAONO",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-27",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "33428",
"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 Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.