Individual provider Active NPI

John Edward Mendelson, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1891889341
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G49959 Issued in CA
Practice address
909 Hyde St
210
San Francisco, CA 94109-4822
Phone
(415) 474-7900
Fax
(415) 474-7930
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G49959 CA Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X G49959 CA

Addresses

Primary practice location

909 Hyde St
210
San Francisco, CA 94109-4822

Mailing address

909 Hyde St
210
San Francisco, CA 94109-4822
Phone (415) 474-7900

Other identifiers 1

IdentifierTypeStateIssuer
G49959MedicaidCA

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
I20070801000856 CA Practitioner - Internal MedicinePractitioner - Addiction Medicine 6103917398 Reassigns benefits to 1 organization
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
University of California, San Francisco School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ria Health PCGroup PAC ID 6204235682, 16 clinicians

Practice addresses (Care Compare)

88 King St
Unit 403
San Francisco, CA 94107-4026
Phone (800) 504-5360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G49959CAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ria Health PC Current Accepting new patients
John Mendelson MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16211/brand/2/csg/1/fhir/r4
  • Direct secure messaging: john.mendelson.1@16211.direct.athenahealth.com

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1891889341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-474-7900",
            "fax_number": "415-474-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-474-7900",
            "fax_number": "415-474-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G49959",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G49959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G49959",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.