Individual provider Active NPI

Henrietta B Sholars, D.O.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1902099807
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5392 Issued in CA
Practice address
29 29TH St
San Francisco, CA 94110-4910
Phone
(415) 401-1630
Fax
(415) 401-8330
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5392 CA Primary

Addresses

Primary practice location

29 29TH St
San Francisco, CA 94110-4910

Mailing address

29 29TH St
San Francisco, CA 94110-4910
Phone (415) 401-1630

Other identifiers 1

IdentifierTypeStateIssuer
B58263OtherCAUPIN

Other names 1

  • Hennie Sholars Other name

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5392CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1902099807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 29TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104910",
            "telephone_number": "415-401-1630",
            "fax_number": "415-401-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 29TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104910",
            "telephone_number": "415-401-1630",
            "fax_number": "415-401-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLARS",
        "first_name": "HENRIETTA",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B58263",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENNIE",
            "last_name": "SHOLARS",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 23, 2007; 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.