Individual provider Active NPI

Gideon Albert Letz, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • San Francisco, CA
National Provider Identifier
1942356233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
G35503 Issued in CA
Practice address
1275 Market St
RM. 1400
San Francisco, CA 94103-1410
Phone
(415) 565-1677
Fax
(415) 581-8044
NPI assigned
Jan 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X G35503 CA Primary

Addresses

Primary practice location

1275 Market St
RM. 1400
San Francisco, CA 94103-1410

Mailing address

1275 Market St
RM. 1400
San Francisco, CA 94103-1410
Phone (415) 565-1677

Other identifiers 1

IdentifierTypeStateIssuer
M193827OtherNUID

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

LicenseStateTypeSpecialty
G35503CAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942356233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 MARKET ST",
            "address_2": "RM. 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031410",
            "telephone_number": "415-565-1677",
            "fax_number": "415-581-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 MARKET ST",
            "address_2": "RM. 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031410",
            "telephone_number": "415-565-1677",
            "fax_number": "415-581-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETZ",
        "first_name": "GIDEON",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G35503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUID",
            "identifier": "M193827",
            "state": null
        }
    ],
    "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 Jul 8, 2007; 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.