Organization Active NPI

Nikolaj Wolfson MD a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1902129273
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NIKOLAJ WOLFSON MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
2300 Sutter St Ste 207
San Francisco, CA 94115-3029
Phone
(415) 221-4400
Fax
(415) 798-2213
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Dr. Nikolaj Wolfson, MDNPI 1144270612
Title
President
Phone
(415) 221-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2300 Sutter St Ste 207
San Francisco, CA 94115-3029

Mailing address

2300 Sutter St Ste 207
San Francisco, CA 94115-3029
Phone (415) 221-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324001076 CA Part B Supplier - Clinic/Group Practice 3173659596 Receives reassigned benefits from 1 practitioner
Practice locations: Napa, CA; San Francisco, CA; Citrus Heights, CA

National Provider Directory

National Provider Directory

Locations

100 S Ellsworth Ave
Ste 607
San Mateo, CA 94401
Phone (650) 347-0517

175 N Redwood Dr
Ste 275
San Rafael, CA 94903
Phone (800) 704-0028

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1902129273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SUTTER ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153029",
            "telephone_number": "415-221-4400",
            "fax_number": "415-798-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SUTTER ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153029",
            "telephone_number": "415-221-4400",
            "fax_number": "415-798-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKOLAJ WOLFSON MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "NIKOLAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-221-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.