Individual provider Active NPI

Michael Roger Hulton, MD

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1891747184
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A31306 Issued in CA
Practice address
148 Divisadero St
B
San Francisco, CA 94117-3268
Phone
(415) 431-9070
Fax
(415) 431-9070
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A31306 CA Primary

Addresses

Primary practice location

148 Divisadero St
B
San Francisco, CA 94117-3268

Mailing address

148 Divisadero St
B
San Francisco, CA 94117-3268
Phone (415) 431-9070

Other identifiers 1

IdentifierTypeStateIssuer
00A313060MedicaidCA

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
A31306CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daly City Anesthesia Medical Group Anesthesiology Past Accepting new patients
Seton Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1891747184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 DIVISADERO ST",
            "address_2": "B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173268",
            "telephone_number": "415-431-9070",
            "fax_number": "415-431-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 DIVISADERO ST",
            "address_2": "B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173268",
            "telephone_number": "415-431-9070",
            "fax_number": "415-431-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTON",
        "first_name": "MICHAEL",
        "middle_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A31306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A313060",
            "state": "CA"
        }
    ],
    "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 Oct 19, 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.