Active NPI
Martha Nolte Kennedy, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- San Francisco, CA
National Provider Identifier
1982651022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- G42630
- Practice address
- UCSF
A545, 400 Parnassus
San Francisco, CA 94143-0001 - Phone
- (415) 353-2346
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G42630 | CA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | G42630 | CA | Primary |
Addresses
Primary practice location
UCSF
A545, 400 Parnassus
San Francisco, CA 94143-0001
Mailing address
1635 Divisadero Street
Suite 625, Box 1821
San Francisco, CA 94143-0001
Phone (141) 535-3234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G426300 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G42630 | CA | MD | Internal Medicine Physician |
| 42630 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1982651022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 DIVISADERO STREET",
"address_2": "SUITE 625, BOX 1821",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430001",
"telephone_number": "141-535-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCSF",
"address_2": "A545, 400 PARNASSUS",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430001",
"telephone_number": "415-353-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "MARTHA",
"middle_name": "NOLTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G42630",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "G42630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G426300",
"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 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.