Active NPI
Gary Benn Birnbaum, M.D.
- Family Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G36641
- Practice address
- 1580 Valencia St Ste 201
San Francisco, CA 94110-4420 - Phone
- (415) 550-4710
- Fax
- (415) 550-6784
- NPI assigned
- Oct 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G36641 | CA | Primary |
Addresses
Primary practice location
1580 Valencia St Ste 201
San Francisco, CA 94110-4420
Mailing address
1580 Valencia St Ste 201
San Francisco, CA 94110-4420
Phone (415) 550-4710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0081800 | Medicaid | CA |
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
- Family Practice
- Education
- New York University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
751 San Pedro Terrace Rd
Pacifica, CA 94044-4101
Phone (650) 359-4800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36641 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| Seton Medical Center Coatside | Past | Accepting new patients |
Locations
1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680
450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680
Interoperability endpoints
- gbirnbaum124458@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Mill Valley, CA
- NPI 1255807152
-
- Institutional Pharmacy
- Moss Beach, CA
- NPI 1740374008
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972685972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 VALENCIA ST STE 201",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104420",
"telephone_number": "415-550-4710",
"fax_number": "415-550-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 VALENCIA ST STE 201",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104420",
"telephone_number": "415-550-4710",
"fax_number": "415-550-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRNBAUM",
"first_name": "GARY",
"middle_name": "BENN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G36641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0081800",
"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 Jul 21, 2022; 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.