Active NPI
Nelson Alphonso, MD
- Surgery Physician
- San Francisco, CA
National Provider Identifier
1992759187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A90383
- Practice address
- 400 Parnassus Ave
San Francisco, CA 94143-2202 - Phone
- (415) 353-2813
- Fax
- (415) 476-9678
- NPI assigned
- May 20, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A90383 | CA | Primary |
Addresses
Primary practice location
400 Parnassus Ave
San Francisco, CA 94143-2202
Mailing address
1635 Divisadero Street, Suite 625, Box 1821
San Francisco, CA 94143-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A903830 | 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 |
|---|---|---|---|
| A90383 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1992759187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 DIVISADERO STREET, SUITE 625, BOX 1821",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-353-2813",
"fax_number": "415-476-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALPHONSO",
"first_name": "NELSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A90383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A903830",
"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 23, 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.