Active NPI
Henrietta B Sholars, D.O.
- Family Medicine Physician
- San Francisco, CA
National Provider Identifier
1902099807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A5392
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B58263 | Other | CA | UPIN |
Other names 1
- Hennie Sholars
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5392 | CA | MD | Family 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.