Ivan Pierce

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

RI-P12091020228 Issued in CA

Practice address

1301 Pierce St
San Francisco, CA 94115-4005

Phone

(415) 563-8200

Fax

(415) 563-5985

NPI assigned

Oct 19, 2012

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1891048435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PIERCE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154005",
            "telephone_number": "415-563-8200",
            "fax_number": "415-563-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PIERCE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154005",
            "telephone_number": "415-563-8200",
            "fax_number": "415-563-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "IVAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "RI-P12091020228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C. Piepergerdes, M.D.
• Anita Christine Pierce-Fuller, LVN
• April C Pierce, SLP
• Cassandra Pierce
• Charleston Pierce
• Jackson M Pierce, PSS
• John Winthrop Pierce, M.D.
• Kelly D'Anne Pierce
• Mario Pierce
• Mayumi Pierce, M.D.

• Case Manager/Care Coordinator in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.