Active NPI
Anto Sedlic, M.D.
- Diagnostic Radiology Physician
- San Francisco, CA
National Provider Identifier
1992052617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A122508
- Practice address
- 165 Johnstone Dr
304
San Francisco, CA 94131-1192 - Phone
- (415) 622-7650
- NPI assigned
- Aug 13, 2012
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A122508 | CA | Primary |
Addresses
Primary practice location
165 Johnstone Dr
304
San Francisco, CA 94131-1192
Mailing address
165 Johnstone Dr
304
San Francisco, CA 94131-1192
Phone (415) 622-7650
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122508 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1992052617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 JOHNSTONE DR",
"address_2": "304",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941311192",
"telephone_number": "415-622-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 JOHNSTONE DR",
"address_2": "304",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941311192",
"telephone_number": "415-622-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDLIC",
"first_name": "ANTO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A122508",
"primary": true
}
],
"identifiers": [],
"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 Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.