Individual provider Active NPI

Nikola S Bukurov, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1861423279
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A00074079 Issued in CA
Practice address
3905 Sacramento St
307
San Francisco, CA 94118-1636
Phone
(415) 933-8266
Fax
(415) 933-8236
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A00074079 CA Primary

Addresses

Primary practice location

3905 Sacramento St
307
San Francisco, CA 94118-1636

Mailing address

3905 Sacramento St
307
San Francisco, CA 94118-1636

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A00074079CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1861423279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 SACRAMENTO ST",
            "address_2": "307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 SACRAMENTO ST",
            "address_2": "307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181636",
            "telephone_number": "415-933-8266",
            "fax_number": "415-933-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKUROV",
        "first_name": "NIKOLA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A00074079",
            "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 Dec 21, 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.

Verify at the official NPI Registry.