Active NPI
Madelyn Dagg
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1952937476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20876
- Practice address
- 2043 19TH Ave
San Francisco, CA 94116-1253 - Phone
- (415) 661-8787
- NPI assigned
- Mar 16, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20876 | Primary |
Addresses
Primary practice location
2043 19TH Ave
San Francisco, CA 94116-1253
Mailing address
2950A Taraval St
San Francisco, CA 94116-2159
Phone (419) 463-7489
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1952937476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950A TARAVAL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162159",
"telephone_number": "419-463-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 19TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161253",
"telephone_number": "415-661-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGG",
"first_name": "MADELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "20876",
"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 Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.