Active NPI
Carlo Andrei De la Sancha Verduzco
- Cytopathology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- A171656
- Practice address
- 1001 Potrero Ave RM 114
San Francisco, CA 94110-3518 - Phone
- (628) 206-6068
- NPI assigned
- Apr 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | A171656 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A171656 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11019158A | IN | |
| Cytopathology Physician | 207ZC0500X | A171656 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Ave RM 114
San Francisco, CA 94110-3518
Mailing address
350 W 11TH St
Suite 4083
Indianapolis, IN 46202-4108
Phone (317) 274-2476
Other practice location 1
350 W 11th St
Suite 4083
Indianapolis, IN 46202-4108
Phone (317) 274-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-8212
Hospital & facility affiliations
- Zuckerberg San Francisco General Hosp & Trauma Ctr
- Laguna Honda Hospital & Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.28 of 100
- Quality
- 89.92
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171656 | CA | MD | Dermatopathology (Pathology) Physician |
| 11019158A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients |
Locations
1001 Potrero Ave
Rm 114
San Francisco, CA 94110
Phone (628) 206-6068
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
1001 Potrero Ave
Bldg 3
San Francisco, CA 94110
Phone (415) 206-6068
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- Oral and Maxillofacial Surgery (Dentist)
- San Francisco, CA
- NPI 1811475759
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1235172560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680393600000",
"number": "1972038222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W 11TH ST",
"address_2": "SUITE 4083",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024108",
"telephone_number": "317-274-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE RM 114",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "628-206-6068"
}
],
"practiceLocations": [
{
"address_1": "350 W 11th St",
"address_2": "Suite 4083",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462024108",
"country_code": "US",
"telephone_number": "317-274-2476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA SANCHA VERDUZCO",
"first_name": "CARLO",
"middle_name": "ANDREI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2023-04-02",
"certification_date": "2023-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "CA",
"license": "A171656",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A171656",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11019158A",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "A171656",
"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 Apr 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.