Active NPI
Adam Blackman, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1912796368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 184251
- Practice address
- San Francisco Preventive Medical Group
380 W Portal Avenue, Suite C
San Francisco, CA 94127 - Phone
- (415) 566-1000
- NPI assigned
- May 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 184251 | CA | Primary |
Addresses
Primary practice location
San Francisco Preventive Medical Group
380 W Portal Avenue, Suite C
San Francisco, CA 94127
Mailing address
180 University Avenue
Suite 3909
Toronto, ONTARIO M5H0A2
CA
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184251 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- adam.blackman@3899008614404.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1912796368",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "180 UNIVERSITY AVENUE",
"address_2": "SUITE 3909",
"city": "TORONTO",
"state": "ONTARIO",
"postal_code": "M5H0A2"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN FRANCISCO PREVENTIVE MEDICAL GROUP",
"address_2": "380 W PORTAL AVENUE, SUITE C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94127",
"telephone_number": "415-566-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "184251",
"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 May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.