Yvette Veronique Fawzi, MPT, GCFP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19568 Issued in CA

Practice address

1199 Bush St
Ste 650
San Francisco, CA 94109-5999

Phone

(415) 441-5800

NPI assigned

Oct 11, 2007

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1962690115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST",
            "address_2": "STE 650",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095999",
            "telephone_number": "415-441-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST",
            "address_2": "STE 650",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095999",
            "telephone_number": "415-441-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWZI",
        "first_name": "YVETTE",
        "middle_name": "VERONIQUE",
        "name_prefix": "Mrs.",
        "credential": "MPT, GCFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT1956B",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1635 Divisadero St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941153036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Favel, MD, MPH, FRCPC
• Nicole Favia
• Nathan A Favini, M.D.
• Kathleen Favor, AU.D.
• Elizabeth Hayes Fawcett
• Fay Nutrition
• Kathryn Fay, MD
• Liliana Fay, MFTI
• Raymond Fay, MD
• William Warner Fay, DDS

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.