Individual provider Active NPI

Jacqueline Lisa Fletcher, M.D.

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1982796009
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A60135 Issued in CA
Practice address
3580 California St Ste 101
San Francisco, CA 94118-1716
Phone
(415) 830-3090
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A60135 CA Primary

Addresses

Primary practice location

3580 California St Ste 101
San Francisco, CA 94118-1716

Mailing address

577 Airport Blvd
Suite 300
Burlingame, CA 94010-2020
Phone (650) 240-8198

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000186 CA Practitioner - Obstetrics/Gynecology 4688834120 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A60135CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 20, 2024 Accepting new patients
University of California San Francisco CurrentSince Jun 20, 2024 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
UCSF Dept of Surgery CurrentSince Jun 20, 2024 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Jun 20, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 20, 2024 Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients
Integrative Womens Care PC Obstetrics & Gynecology Past Accepting new patients

Locations

1501 Trousdale Dr
Fl 4
Burlingame, CA 94010
Phone (650) 652-6440

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2356 Sutter St
Ste J140
San Francisco, CA 94115
Phone (415) 353-3400

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

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

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

Interoperability endpoints

  • Direct secure messaging: jacqueline.fletcher.1@27069.direct.athenahealth.com

Organizations & group practices 8

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1982796009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 AIRPORT BLVD",
            "address_2": "SUITE 300",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102020",
            "telephone_number": "650-240-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 CALIFORNIA ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181716",
            "telephone_number": "415-830-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JACQUELINE",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A60135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.