Organization Active NPI

Anthony Cosentino MD a Professional Corp

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1972747095
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A177340 Issued in CA
Legal business name
ANTHONY COSENTINO MD A PROFESSIONAL CORP
Practice address
450 Stanyan St
San Francisco, CA 94117-1019
Phone
(415) 750-5688
Fax
(415) 750-8149
NPI assigned
Apr 21, 2009
Last updated
May 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Linda Perazzo
Title
Medical Biller
Phone
(415) 234-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A177340 CA Primary

Addresses

Primary practice location

450 Stanyan St
San Francisco, CA 94117-1019

Mailing address

PO Box 1023
Novato, CA 94948-1023
Phone (415) 234-6100

Other identifiers 1

IdentifierTypeStateIssuer
00A177340MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1972747095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949481023",
            "telephone_number": "415-234-6100",
            "fax_number": "415-234-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "415-750-5688",
            "fax_number": "415-750-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY COSENTINO MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "PERAZZO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "415-234-6100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A177340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A177340",
            "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 May 14, 2009; 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.