Individual provider Active NPI

Reia Theresa Zimmer, RN, MSN, PNP-AC

  • Pediatric Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1912387721
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP95001536 Issued in CA
Practice address
1855 4TH St FL 2
San Francisco, CA 94158-2350
Phone
(800) 793-3887
Fax
(415) 502-0660
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NP95001536 CA Primary
Pediatric Clinical Nurse Specialist 364SP0200X 364SP0200X CA

Addresses

Primary practice location

1855 4TH St FL 2
San Francisco, CA 94158-2350

Mailing address

1855 4TH St FL 2
San Francisco, CA 94158-2350
Phone (800) 793-3887

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316001348 CA Practitioner - Nurse Practitioner 8123324225 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP95001536CAMDPediatric Nurse Practitioner
364SP0200XCAMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jan 30, 2016 Accepting new patients
University of California San Francisco CurrentSince Jan 30, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 30, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 30, 2016 Accepting new patients
University of California San Francisco CurrentSince Jan 30, 2016 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Pediatrics Associates CurrentSince Jan 30, 2016 Accepting new patients
UCSF Dept of Surgery CurrentSince Jan 30, 2016 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

550 16th St
Fl 5
San Francisco, CA 94143
Phone (415) 476-5153

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1855 4th St
Fl 2
San Francisco, CA 94143
Phone (415) 476-3641

1975 4th St
#117
San Francisco, CA 94143
Phone (415) 514-3261

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: rzimmer14506@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1912387721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 4TH ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582350",
            "telephone_number": "800-793-3887",
            "fax_number": "415-502-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 4TH ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582350",
            "telephone_number": "800-793-3887",
            "fax_number": "415-502-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "REIA",
        "middle_name": "THERESA",
        "credential": "RN, MSN, PNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP95001536",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "364SP0200X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.