Active NPI
John Edward Mendelson, MD
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1891889341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G49959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G49959 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G49959 | CA | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ria Health PC | Current | Accepting new patients | |
| John Mendelson MD | Internal Medicine | Past | 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
- https://api.platform.athenahealth.com/16211/brand/2/csg/1/fhir/r4
- 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.
-
- Addiction Medicine (Internal Medicine) Physician
- San Francisco, CA
- NPI 1326539404
-
- Addiction Medicine (Preventive Medicine) Physician
- Greenville, SC
- NPI 1073459574
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1245418912
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.