Active NPI
Ann Carol Goforth, NP
- Adult Health Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1912344631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 295566
- Practice address
- 505 Parnassus Avenue
San Francisco, CA 94143 - Phone
- (415) 353-8405
- NPI assigned
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 295566 | CA | Primary |
Addresses
Primary practice location
505 Parnassus Avenue
San Francisco, CA 94143
Mailing address
505 Parnassus Avenue
UCSF Medical Center
San Francisco, CA 94143
Phone (415) 353-8405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4152461001 | Other | CA | NPI |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295566 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1912344631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVENUE",
"address_2": "UCSF MEDICAL CENTER",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "415-353-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVENUE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "415-353-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFORTH",
"first_name": "ANN",
"middle_name": "CAROL",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "295566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "4152461001",
"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 Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.