Axiom Medical Group a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C50117 Issued in CA

Legal business name

AXIOM MEDICAL GROUP A PROFESSIONAL CORPORATION

Doing business as

Anatara Medicine

Practice address

1700 California St
Suite 520
San Francisco, CA 94109-4586

Phone

(415) 345-0099

Fax

(415) 345-0059

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Ahvie Herskowitz, M.D.

Title

Medical Director

Phone

(415) 345-0099

Specialties & licenses 2

Addresses

Other names 1

• Anatara Medicine Doing business as

Locations

Practitioners 1

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

• R. Thomas Grotz, M.D.

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1528146487
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1922361385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094586",
            "telephone_number": "415-345-0099",
            "fax_number": "415-345-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094586",
            "telephone_number": "415-345-0099",
            "fax_number": "415-345-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "AHVIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-345-0099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50117",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "C50117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anatara Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mamdouh A Awwad
• Marina Awwad
• Gail Axelrod
• Jessica Purdy Axelrod, P.N.P
• Pamela Anne Axelson, RN NP
• Axiom Medical Group, a Professional Corporation
• Rania Ayad, PHARMD
• Roxana Salcedo Ayala-Quintero, MA, LMFT
• Angelica Ayala
• Anna Ayala

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.