Individual provider Active NPI

Jill Laralyn Armbrust, M.D.

  • Specialist
  • San Francisco, CA
National Provider Identifier
1992921084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G39554 Issued in CA
Practice address
709 Scott St
San Francisco, CA 94117-1614
Phone
(415) 673-2576
Fax
(415) 673-7854
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G39554 CA Primary

Addresses

Primary practice location

709 Scott St
San Francisco, CA 94117-1614

Mailing address

709 Scott St
San Francisco, CA 94117-1614
Phone (415) 441-2976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 10, 2013 through May 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G39554CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992921084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SCOTT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171614",
            "telephone_number": "415-441-2976",
            "fax_number": "415-673-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SCOTT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171614",
            "telephone_number": "415-673-2576",
            "fax_number": "415-673-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMBRUST",
        "first_name": "JILL",
        "middle_name": "LARALYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.