Individual provider Active NPI

Seon Young Min, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1982076519
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102469 Issued in CA
Practice address
533 Parnassus Ave # Ub10
San Francisco, CA 94143
Phone
(415) 514-1678
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16147 MD
Dentist 122300000X DEN1001617 DC
General Practice Dentistry 1223G0001X 102469 CA Primary

Addresses

Primary practice location

533 Parnassus Ave # Ub10
San Francisco, CA 94143

Mailing address

533 Parnassus Ave # Ub10
San Francisco, CA 94143-2208
Phone (415) 514-1678

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418001355 CA Practitioner - Dentist 7113274150 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102469CAMDMarriage & Family Therapist
DEN1001617DCMDDentist
16147MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Oral Medicine Clinic General Practice CurrentSince Jun 26, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 11, 2018 Accepting new patients
University of California San Francisco CurrentSince Dec 11, 2018 Accepting new patients
UCSF Oral & Maxillofacial Surgery CurrentSince Dec 11, 2018 Accepting new patients
University of California San Francisco CurrentSince Dec 11, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 11, 2018 Accepting new patients

Locations

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

533 Parnassus Ave
#10
San Francisco, CA 94143
Phone (415) 476-1316

513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Organizations & group practices 7

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1982076519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PARNASSUS AVE # UB10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432208",
            "telephone_number": "415-514-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PARNASSUS AVE # UB10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-514-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "SEON YOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16147",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001617",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.