Active NPI
Susan Wilson
- Obstetrics & Gynecology Physician
- San Francisco, CA
National Provider Identifier
1952329567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G60263
- Practice address
- 3838 California St RM 805
San Francisco, CA 94118-1510 - Phone
- (415) 750-7050
- Fax
- (415) 369-1388
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G60263 | CA | Primary |
Addresses
Primary practice location
3838 California St RM 805
San Francisco, CA 94118-1510
Mailing address
2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (415) 750-7050
Other practice location 1
1375 Sutter St Ste 308
San Francisco, CA 94109-5466
Phone (415) 750-7050
Other practice location 2
3838 California St Rm 510
San Francisco, CA 94118-1507
Phone (415) 668-1560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G60263 | Other | CA | STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G60263 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1952329567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL FL 2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203",
"telephone_number": "415-750-7050",
"fax_number": "415-369-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 CALIFORNIA ST RM 805",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181510",
"telephone_number": "415-750-7050",
"fax_number": "415-369-1388"
}
],
"practiceLocations": [
{
"address_1": "1375 Sutter St Ste 308",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941095466",
"country_code": "US",
"telephone_number": "415-750-7050",
"fax_number": "415-369-1388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3838 California St Rm 510",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941181507",
"country_code": "US",
"telephone_number": "415-668-1560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G60263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G60263",
"state": "CA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.