Faith R. Protsman, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

G72923 Issued in CA

Practice address

700 W 6TH St
Suite C
Gilroy, CA 95020-6014

Phone

(408) 846-6444

Fax

(408) 846-1067

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fprotsman693116@hisp.ehr.sutterhealth.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sutter Visiting Nurse Association and Hospice

  dba Sutter Care at Home

  • Community Based Hospice Care Agency
  • San Francisco, CA
  • NPI 1245264134

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitas Health Services of California Inc

  dba Palliative Medical Associates of California

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Covina, CA
  • NPI 1780973024
  Medicare reassignment NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1912980012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 6TH ST",
            "address_2": "SUITE C",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206014",
            "telephone_number": "408-846-6444",
            "fax_number": "408-846-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 6TH ST",
            "address_2": "SUITE C",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206014",
            "telephone_number": "408-846-6444",
            "fax_number": "408-846-1067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 N McCarthy Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950355119",
            "country_code": "US",
            "telephone_number": "877-868-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROTSMAN",
        "first_name": "FAITH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G72923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G729231",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS HEALTH SERVICES OF CALIFORNIA INC",
            "address_1": "1343 N Grand Ave",
            "address_2": "SUITE 100",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917244020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Lynn Price
• Shannon Lynn Price I
• Prince Shah MD a Medical Corporation
• Mauricio Hazael Procopio
• Jurisa Lina Prom
• Kassandra Pulido Rodriguez
• Sindy Zyneva Pulido
• Avanti Maya Puri
• Sheela Puri, PSYD
• Nakeesha Purvis

• Hospice and Palliative Medicine (Internal Medicine) Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.