NPIMap

Individual provider Active NPI

Nathan Kyle Jamison, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1992155782
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A168935 Issued in CA
Practice address
1263 Mission St
San Francisco, CA 94103-2705
Phone
(415) 502-3000
NPI assigned
Jun 13, 2016
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01079850A IN
Psychiatry Physician 2084P0800X A168935 CA Primary

Addresses

Primary practice location

1263 Mission St
San Francisco, CA 94103-2705

Mailing address

1563 Mission St
San Francisco, CA 94103-2543

Other practice location 1

1001 Potrero Avenue Bldg 5
1B
San Francisco, CA 94110
Phone (628) 206-8125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827003194 CA Practitioner - Psychiatry 2365733367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1263 Mission St
San Francisco, CA 94103-2705
Phone (415) 502-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168935CAMDPsychiatry Physician
01079850AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Psychiatry Current Accepting new patients
University of Califronia, San Francisco CurrentSince Mar 18, 2024 Accepting new patients
University of California San Francisco CurrentSince Mar 18, 2024 Accepting new patients
Healthright 360 CurrentSince Jul 9, 2020 Accepting new patients
City and County of San Francisco CurrentSince Oct 27, 2020 Accepting new patients
Healthright 360 CurrentSince Jul 9, 2020 Accepting new patients
Healthright 360 Current Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

330 Ellis St
San Francisco, CA 94102
Phone (415) 674-6085

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

Interoperability endpoints

  • Direct secure messaging: njamison@direct.iuhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1992155782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032705",
            "telephone_number": "415-502-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Avenue Bldg 5",
            "address_2": "1B",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94110",
            "country_code": "US",
            "telephone_number": "628-206-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "NATHAN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01079850A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A168935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.