Individual provider Active NPI

Barbara Ann Wismer, MD, MPH

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1972620342
Registry record updated Sep 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G77730 Issued in CA
Practice address
230 Golden Gate Ave
Tom Waddell Urban Health Clinic
San Francisco, CA 94102-3706
Phone
(415) 355-7426
Fax
(415) 674-6378
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G77730 CA Primary
Public Health & General Preventive Medicine Physician 2083P0901X G77730 CA

Addresses

Primary practice location

230 Golden Gate Ave
Tom Waddell Urban Health Clinic
San Francisco, CA 94102-3706

Mailing address

230 Golden Gate Ave
Tom Waddell Urban Health Clinic
San Francisco, CA 94102-3706
Phone (415) 355-7426

Other identifiers 1

IdentifierTypeStateIssuer
019505OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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

LicenseStateTypeSpecialty
77730CAMDMarriage & Family Therapist
G77730CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380326400000",
    "number": "1972620342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GOLDEN GATE AVE",
            "address_2": "TOM WADDELL URBAN HEALTH CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023706",
            "telephone_number": "415-355-7426",
            "fax_number": "415-674-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GOLDEN GATE AVE",
            "address_2": "TOM WADDELL URBAN HEALTH CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023706",
            "telephone_number": "415-355-7426",
            "fax_number": "415-674-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISMER",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77730",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G77730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "019505",
            "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 Sep 28, 2013; 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.